1. Home
  2. Directory
  3. Idaho
  4. Hayden
  5. Marriage Family Therapist
  6. NPI Profile

MR. KEVIN JOSEPH KERVICK MS
NPI 1619031390
Marriage & Family Therapist in Hayden, ID

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
109 W HONEYSUCKLE AVE UNIT 3414, HAYDEN, ID 83835(603) 897-5504 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 4, 2025, Jul 5, 2023 (2 updates tracked since 2023).

About Mr. Kevin Joseph Kervick Ms NPPES

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

MR. KEVIN JOSEPH KERVICK MS (NPI 1619031390) is an individual marriage & family therapist in Hayden, Idaho, licensed in Idaho (LMFT-8157) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1619031390
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. KEVIN JOSEPH KERVICKCredential: MS
Location Address109 W HONEYSUCKLE AVE UNIT 3414Hayden, ID 83835-9910
Mailing Address109 W Honeysuckle Ave Unit 3414Hayden, ID 83835-9910 · (603) 897-5504
Phone(603) 897-5504
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateDecember 20, 2006
Last NPPES UpdateDecember 4, 20252 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1619031390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in ID · LMFT-8157
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.

Also ListedHealth and Wellness CoachTaxonomy 171400000X · License 8187 (ID)
109 W HONEYSUCKLE AVE UNIT 3414, Hayden, ID 83835
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kevin Joseph Kervick Ms 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 ID648765883
PECOS Enrollment IDI20251224001332
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

What is Kevin Kervick's NPI number?

The NPI number assigned to this healthcare provider is 1619031390, enumerated as an "individual" on December 20, 2006.

Where is the provider located?

The provider is located at 109 W HONEYSUCKLE AVE UNIT 3414 HAYDEN, ID 83835 and the phone number is (603) 897-5504.

What is the provider's specialty?

Marriage & Family Therapist with taxonomy code 106H00000X.