KALEB MARTIN
NPI 1376379545
Counselor - Mental Health in Conway, PA
About Kaleb Martin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KALEB MARTIN (NPI 1376379545) is an individual mental health provider in Conway, Pennsylvania, licensed in Pennsylvania (PC020226) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaleb Martin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaleb Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33130
- Reassigned Medicare billing, Pennsylvania enrollment
- 833 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kaleb Martin's NPI number?
The NPI number for Kaleb Martin is 1376379545. It was assigned to this individual provider in the NPPES registry on September 12, 2024.
Where is Kaleb Martin located?
Kaleb Martin practices at 1100 Hiland Ave, Conway, PA 15027. The listed phone number is (724) 987-2091.
What is Kaleb Martin's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kaleb Martin enrolled in Medicare?
Yes. Kaleb Martin is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaleb Martin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaleb Martin reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaleb Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kaleb Martin was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kaleb Martin · NPI 1376379545
Mental Health provider in Conway, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 12, 2024.
## Identity
- **NPI:** 1376379545 (Entity type: Individual)
- **Enumerated:** September 12, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** PC020226 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1100 HILAND AVE, Conway, PA 15027-1247
- **Phone:** (724) 987-2091
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PA (NPI 1245845932, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** March 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1376379545) · Data from the CMS NPPES public registry.