Kenneth Middleton, PH.D, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

328273-3902 Issued in UT

Practice address

55 N 200 W Ste 2
St George, UT 84770-1303

Phone

(435) 301-8969

Fax

(435) 359-5016

NPI assigned

Aug 8, 2024

Last updated

Aug 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 UT

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

Marriage and Family Therapist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mend Counseling Center LLCGroup PAC ID 8123478211, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• M.E.N.D. Counseling Center, L.L.C.

  • Mental Health Counselor
  • St George, UT
  • NPI 1376256057

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1417788894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 N 200 W STE 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847701303",
            "telephone_number": "435-301-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N 200 W STE 2",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847701303",
            "telephone_number": "435-301-8969",
            "fax_number": "435-359-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDDLETON",
        "first_name": "KENNETH",
        "credential": "PH.D, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "328273-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookanne J Mickelson, FNP-BC
• Kennedy Mickelson
• Troy James Mickelson
• Kristin Middione, FNP-C, FNP-BC
• David A Middleton, D.C.
• Sarah Mielke
• Ruth Mikesell, BIT PRACTITIONER
• Jill Mikkelson, P.T.
• Troy Mikkelson, P.T.
• Ofa Miko

• Marriage & Family Therapist in St George, UT
• Providers in St George, UT by specialty
• Marriage & Family Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.