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

Q: What is Kevin Kervick's NPI number?

The NPI number for Kevin Kervick is 1619031390. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Kevin Kervick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Kervick was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

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: August 30, 2026.

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

On this page

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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Kervick's NPI number?

The NPI number for Kevin Kervick is 1619031390. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Kevin Kervick located?

Kevin Kervick practices at 109 W Honeysuckle Ave Unit 3414, Hayden, ID 83835. The listed phone number is (603) 897-5504.

What is Kevin Kervick's specialty?

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

Is Kevin Kervick enrolled in Medicare?

Yes. Kevin Kervick 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.

When was this NPI record last updated?

The NPPES record for Kevin Kervick was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.