Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
MARISSA MARTINEZ
Active
Individual
MARISSA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09056139
KAISER PERMANENTE
—
Enumeration date
10/19/2021
Last updated
09/09/2026
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