MS. KERRY LYNN MARTIN L.P.C., N.C.C.
NPI 1790513182
Counselor - Professional in Parker, CO

Active since July 25, 2024Opted out of Medicare · through Dec 18, 2026
17039 CAMPO DR, PARKER, CO 80134(720) 350-3806 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Ms. Kerry Lynn Martin L.p.c., N.c.c. NPPES

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

MS. KERRY LYNN MARTIN L.P.C., N.C.C. (NPI 1790513182) is an individual professional provider in Parker, Colorado, licensed in Colorado (LPC.0015115) and active in the NPI registry since July 2024. She has opted out of Medicare through December 18, 2026.

NPPES Registry Identity

NPI1790513182
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. KERRY LYNN MARTINCredential: L.P.C., N.C.C.
Location Address17039 CAMPO DRParker, CO 80134-7609
Mailing Address17039 Campo DrParker, CO 80134-7609 · (720) 350-3806
Sole ProprietorYes
Enumeration DateJuly 25, 2024
NPPES CertifiedJuly 25, 2024
NPI 1790513182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CO · LPC.0015115
17039 CAMPO DR, Parker, CO 80134

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Kerry Lynn Martin L.p.c., N.c.c. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 18, 2024 through December 18, 2026.

Opt-Out Effective DateDecember 18, 2024
Opt-Out In Effect ThroughDecember 18, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 Kerry Martin's NPI number?

The NPI number for Kerry Martin is 1790513182. It was assigned to this individual provider in the NPPES registry on July 25, 2024.

Where is Kerry Martin located?

Kerry Martin practices at 17039 Campo Dr, Parker, CO 80134. The listed phone number is (720) 350-3806.

What is Kerry Martin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kerry Martin enrolled in Medicare?

No. Kerry Martin has opted out of Medicare through December 18, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kerry Martin was last updated on July 25, 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.