Kerry Jean Martin-Doehring, MA, LMFT, IMH-E

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT15410 Issued in AZ

Practice address

18001 N. 79TH Ave
Suite C-50
Glendale, AZ 85308

Phone

(480) 744-0765

Fax

(623) 328-9539

NPI assigned

Apr 2, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Pathways to Connection, LLC

  • Clinical Social Worker
  • Peoria, AZ
  • NPI 1396334157
  Medicare reassignment NPD
• Az Young Child Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
  • NPI 1619697653
  NPD

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1245869163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18001 N. 79TH AVE",
            "address_2": "SUITE C-50",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "480-744-0765",
            "fax_number": "623-328-9539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N. 79TH AVE",
            "address_2": "SUITE C-50",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85308",
            "telephone_number": "480-744-0765",
            "fax_number": "623-328-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-DOEHRING",
        "first_name": "KERRY",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT, IMH-E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AZ",
            "license": "LMFT15410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Marshall Jr., DMD
• Andrea M Martell, MPT
• Joanne Marie Martelli, PMHNP
• Erin June Martens, MD
• Martin C Gage PC (Gage Chiropractic Health Center)
• Andrei Martin
• Camelia Martin, DNP, FNP-BC
• Christina Michelle Martin, D.O.
• Denise Martin
• Heidi Elizabeth Martin, MC, LPC

• Marriage & Family Therapist in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Marriage & Family Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.