Kenneth Martins, LP

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

LP2702 Issued in MN

Practice address

302 S 2ND St
Mankato, MN 56001-3605

Phone

(507) 388-8114

Fax

(507) 388-8068

NPI assigned

Sep 25, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326148594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 S 2ND ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013605",
            "telephone_number": "507-388-8114",
            "fax_number": "507-388-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 2ND ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013605",
            "telephone_number": "507-388-8114",
            "fax_number": "507-388-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINS",
        "first_name": "KENNETH",
        "credential": "LP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MN",
            "license": "LP2702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BCBS",
            "identifier": "473T4MA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP42906",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136327",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "30407-01",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliah Marsland
• Sarah Lynnette Martens, PA
• Keryl Marie Martin, LCSW
• Zoey R Martin
• Tara Martinez
• Monica Marzinske
• Laura Marzolf
• Andrew Mason, MD
• James R Mason
• Madeleine M Mason, MD

• Cognitive & Behavioral Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Cognitive & Behavioral Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.