KALEB MARTIN
NPI 1376379545
Counselor - Mental Health in Conway, PA

Active since September 12, 2024PECOS Enrolled
1100 HILAND AVE, CONWAY, PA 15027(724) 987-2091 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Sep 12, 2024 (2 updates tracked since 2024).

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

NPI1376379545
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKALEB MARTIN
Location Address1100 HILAND AVEConway, PA 15027-1247
Mailing Address1100 Hiland AveConway, PA 15027-1247 · (724) 987-2091
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 12, 2024
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1376379545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in PA · PC020226
1100 HILAND AVE, Conway, PA 15027

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kaleb Martin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547737512
PECOS Enrollment IDI20260427003212
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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 4 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.