MR. RONALD MARTINEZ (LCPC) – Counselor, NPI 1457415325

MR. RONALD MARTINEZ (LCPC) is a healthcare provider. based in East moline, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LCPC. The NPI Number for MR. RONALD MARTINEZ (LCPC) is 1457415325

Main info

Male
Sole Proprietor
32 Years Of Experience
Accepts Medicare Assignment
Name
MR. RONALD MARTINEZ (LCPC)
NPI
1457415325
Phone
(309) 792-1074
Address
550 OAKLAWN AVE
Enumeration Date
21 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3097972900
Graduation Year
1994 (32 years ago)
PAC ID
0840641585
Group Practice PAC ID
8527203090
Professional Enrollment ID
I20240305000069
Address ID
IL612656308MO2200XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for MR. RONALD MARTINEZ (LCPC)

  • 550, Oaklawn Avenue, Oaklawn, East Moline, Rock Island County, Illinois, 61244, United States

    EAST MOLINE, IL 61244

    Phone: (309) 792-1074

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240305000069IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8527203090View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIA
-IL
Mental Health CounselorIL
Clinical Social WorkerIL
Mental Health CounselorIL
-IL
Clinical Social WorkerIL
Clinical PsychologistIL
Mental Health CounselorIL

Reviews

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Frequently asked questions

Is MR. RONALD MARTINEZ (LCPC) listed with a National Provider Identifier?
Yes — MR. RONALD MARTINEZ (LCPC) has NPI 1457415325 on file in the registry.
Is there an active status for MR. RONALD MARTINEZ (LCPC)?
For scheduling context, MR. RONALD MARTINEZ (LCPC) is shown as active in the registry.
How would a patient describe MR. RONALD MARTINEZ (LCPC)'s focus?
For MR. RONALD MARTINEZ (LCPC), the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MR. RONALD MARTINEZ (LCPC)?
Directory geography for MR. RONALD MARTINEZ (LCPC) centers on East Moline, Illinois.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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