Kimberly Martin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

52048383902 Issued in UT

Practice address

1175 E 3200 N
Lehi, UT 84043-5464

Phone

(385) 352-3738

NPI assigned

May 4, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Tulips Growing LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lehi, UT
  • NPI 1811778681
  NPD Authorized official

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1740508597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W 640 N",
            "city": "AMERICAN FORK",
            "state": "UT",
            "postal_code": "840031579",
            "telephone_number": "801-376-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 E 3200 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840435464",
            "telephone_number": "385-352-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KIMBERLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-04",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "52048383902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOPL",
            "identifier": "5204838-3902",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanner John Manwaring, DNP, PMHNP-BC
• Kendall Manwill, LCSW
• Kendra Manwill, RD, CD
• Marianne Haines, PLLC
• Michael Dean Marion, M.D.
• Sydney Martin
• Theresa Ann Martin
• Ty H James Martin
• Hector Martinez
• Allan Martins Soares

• Marriage & Family Therapist in Lehi, UT
• Providers in Lehi, 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 Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.