MR. KENNETH J MARTINEZ LMFT
NPI 1639209869
Counselor - Mental Health in Simi Valley, CA
About Mr. Kenneth J Martinez Lmft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH J MARTINEZ LMFT (NPI 1639209869) is an individual mental health provider in Simi Valley, California, licensed in California (MFC 47778) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
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 and accepts Medicare assignment
Mr. Kenneth J Martinez 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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Martinez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Woodland Hills, CA 91367
- Reassigned Medicare billing, California enrollment
- 13,921 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
SIMI VALLEY, CA 93065
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 Martinez's NPI number?
The NPI number for Kenneth Martinez is 1639209869. It was assigned to this individual provider in the NPPES registry on March 6, 2007.
Where is Kenneth Martinez located?
Kenneth Martinez practices at 1227 E Los Angeles Ave, Simi Valley, CA 93065. The listed phone number is (805) 582-4080.
What is Kenneth Martinez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kenneth Martinez enrolled in Medicare?
Yes. Kenneth Martinez 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 Martinez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Martinez reassigns Medicare benefits to Southern California Permanente Medical Group (Woodland Hills, CA). 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 Martinez'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 Kenneth Martinez was last updated on February 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mr. Kenneth J Martinez, LMFT · NPI 1639209869
Mental Health provider in Simi Valley, California. Individual provider, active in the CMS NPPES registry since March 6, 2007.
## Identity
- **NPI:** 1639209869 (Entity type: Individual)
- **Enumerated:** March 6, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MFC 47778 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1227 E LOS ANGELES AVE, Simi Valley, CA 93065-2871
- **Phone:** (805) 582-4080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1952333478, Woodland Hills, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** February 10, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1639209869) · Data from the CMS NPPES public registry.