Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Theresa Martinez-Gonzalez

Individual provider Professional Counselor · NPI 1619689064

Mary Theresa Martinez-Gonzalez is a Mental Health Counselor in San Antonio, Texas. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2022
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Practice location Address checks out

919 Mission Rd
San Antonio, TX 78210-4501
Phone: (210) 533-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 89409 (TX)

Record details

NPI number1619689064
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2022
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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