Kevin Joseph Kervick, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT-8157 Issued in ID

Practice address

109 W Honeysuckle Ave Unit 3414
Hayden, ID 83835-9910

Phone

(603) 897-5504

NPI assigned

Dec 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1619031390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W HONEYSUCKLE AVE UNIT 3414",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359910",
            "telephone_number": "603-897-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W HONEYSUCKLE AVE UNIT 3414",
            "city": "HAYDEN",
            "state": "ID",
            "postal_code": "838359910",
            "telephone_number": "603-897-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERVICK",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ID",
            "license": "LMFT-8157",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "ID",
            "license": "8187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristy Kay, LCSW
• Susan E Keeley, LCSW
• Erik Kelly, NP-C
• Meghan Kelly, BS CRIMINOLOGY
• Kayla Rae Kendall, FNP
• Jessica Minhae Kim
• Lynne Kinson, M.S.
• Clifford Kiracofe, RPT
• Klein Chiropractic
• Katie Marie Klein, D.C.

• Marriage & Family Therapist in Hayden, ID
• Providers in Hayden, ID by specialty
• Marriage & Family Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.