Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeannie Martinez

Individual provider Professional Counselor · NPI 1609318542

Jeannie Martinez is a Mental Health Counselor in Fort Worth, Texas. Qualified in 2011, 15 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Years since qualifying
15
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

4420 W Vickery Blvd Ste 103B
Fort Worth, TX 76107-6259
Phone: (682) 443-5379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3713 Ashland Ave, Fort Worth, TX 76107-6210 — (325) 829-7649

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 70909 (TX)

Record details

NPI number1609318542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 9, 2016
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Not indicated

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