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KENNETH MIDDLETON PH.D, LMFT
NPI 1417788894
Marriage & Family Therapist in St George, UT

Active since August 08, 2024PECOS EnrolledAccepts Medicare Assignment
55 N 200 W STE 2, ST GEORGE, UT 84770(435) 301-8969(435) 359-5016 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kenneth Middleton Ph.d, Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MIDDLETON PH.D, LMFT (NPI 1417788894) is an individual marriage & family therapist in St George, Utah, licensed in Utah (328273-3902) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1417788894
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameKENNETH MIDDLETONCredential: PH.D, LMFT
Location Address55 N 200 W STE 2St George, UT 84770-1303
Mailing Address55 N 200 W Ste 2St George, UT 84770-1303 · (435) 301-8969
Phone(435) 301-8969
Fax(435) 359-5016
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateAugust 8, 2024
NPPES CertifiedAugust 8, 2024
✔ NPI 1417788894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in UT · 328273-3902
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
55 N 200 W STE 2, St George, UT 84770
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Middleton Ph.d, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800337569
PECOS Enrollment IDI20240920002372
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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Middleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

M.E.N.D. Counseling Center, L.L.C.
0.3 mi
Mental Health
55 N 200 W STE 2
St George, UT 84770
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: Mend Counseling Center LLC
  • 7 clinicians in this Medicare group
NPI 1376256057 (435) 705-9213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TINA HARTMAN
Counselor (Mental Health)
55 N 200 W STE 2
ST GEORGE, UT 84770
Washington County (435) 301-8969
JENNIE POOL CMHC
Counselor (Mental Health)
55 N 200 W STE 2
SAINT GEORGE, UT 84770
Washington County (435) 705-9213
LYNA TEVENAZ JONES
Counselor (Mental Health)
55 N 200 W STE 2
ST GEORGE, UT 84770
Washington County (435) 301-8969
M.E.N.D. COUNSELING CENTER, L.L.C.
Counselor (Mental Health)
55 N 200 W STE 2
ST GEORGE, UT 84770
Washington County (435) 705-9213

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 Kenneth Middleton's NPI number?

The NPI number for Kenneth Middleton is 1417788894. It was assigned to this individual provider in the NPPES registry on August 8, 2024.

Where is Kenneth Middleton located?

Kenneth Middleton practices at 55 N 200 W Ste 2, St George, UT 84770. The listed phone number is (435) 301-8969.

What is Kenneth Middleton's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Kenneth Middleton enrolled in Medicare?

Yes. Kenneth Middleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kenneth Middleton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Middleton reassigns Medicare benefits to M.E.N.D. Counseling Center, L.L.C. (St George, UT). 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 Kenneth Middleton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Middleton accept?

Health plans from Select Health and University of Utah Health Plans list Kenneth Middleton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Middleton was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.