Martha Kinman Fay, MSW CMHP

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW4370 Issued in FL

Practice address

5050 Ocean Beach Blvd Apt 103
Cocoa Beach, FL 32931-3762

Phone

(321) 323-9302

Fax

(888) 354-4711

NPI assigned

Jun 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Talkspace Provider Network PAGroup PAC ID 5799136701, 249 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Talkspace Provider Network PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1639814049

  FL

  Medicare reassignment Care Compare group NPD
• Martha Fay LCSW Beachside Mental Health Counseling Services LLC

  dba Beachside Mental Health Counseling Services

  • Social Worker
  • Cocoa Beach, FL
  • NPI 1578103925
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1316109838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 OCEAN BEACH BLVD APT 103",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313762",
            "telephone_number": "321-323-9302",
            "fax_number": "888-354-4711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 OCEAN BEACH BLVD APT 103",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313762",
            "telephone_number": "321-323-9302",
            "fax_number": "888-354-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAY",
        "first_name": "MARTHA",
        "middle_name": "KINMAN",
        "name_prefix": "Mrs.",
        "credential": "MSW CMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW4370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7675437 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evening Tide of Brevard, LLC
• Eric Wesley Fadely, MA MA
• Family and Pediatric Clinic
• Family and Pediatric Clinic
• Samir H Faris, MD
• Daniel Edgar Ferrier
• Florida Eye Associates Inc
• Florida School Based Behavioral Services (Fsbbs)
• Hatice Y Foell, ARNPC
• Rhonda Darlene Ford, L.M.T.

• Social Worker in Cocoa Beach, FL
• Providers in Cocoa Beach, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.