Kayla Jean Martin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.030273 Issued in IL

Practice address

4311 N Ravenswood Ave Ste 305
Chicago, IL 60613-1192

Phone

(469) 709-9250

NPI assigned

May 30, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• KJ Martin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dallas Therapy Collective, PLLC

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1720598576
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1033802707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314396",
            "telephone_number": "469-709-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4311 N RAVENSWOOD AVE STE 305",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606131192",
            "telephone_number": "469-709-9250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8140 Walnut Hill Ln Ste 440",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752314396",
            "country_code": "US",
            "telephone_number": "469-709-9250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KAYLA",
        "middle_name": "JEAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "69011",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.030273",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61678234",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KJ",
            "last_name": "MARTIN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie Elizabeth Martin, CPNP
• Justin Troy Martin, MD
• Kaitlin Martin
• Kajeria Martin
• Katherine Martin
• Kelly Jane Martin, LCPC
• Kendall Martin, PSYD
• Kenneth Michael Martin, DC
• Kevin J Martin, PT DPT
• Kimberly Martin

• Clinical Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.