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

Mr. Ronald Martinez, LCPC

Individual provider Counselor · NPI 1457415325

Mr. Ronald Martinez, LCPC is a Mental Health Counselor in East Moline, Illinois. Qualified in 1994, 32 years ago. Practices with Southpark Psychology Ltd, a 21-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
32
Licensed in
IL
In the registry since
2006
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

550 Oaklawn Ave
East Moline, IL 61244-4030
Phone: (309) 792-1074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X (IL)

Record details

NPI number1457415325
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedDecember 21, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Southpark Psychology Ltd — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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