MARTIN KOFORD (ACMHC) – Mental Health Counselor, NPI 1912335621

MARTIN KOFORD (ACMHC) is a healthcare provider. based in St george, Utah. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials ACMHC. They hold a License No. 54606186009 (UT). The NPI Number for MARTIN KOFORD (ACMHC) is 1912335621

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
MARTIN KOFORD (ACMHC)
NPI
1912335621
Phone
(435) 688-1111
Address
435 E TABERNACLE ST
Enumeration Date
16 October 2013
Last Update Date
16 October 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4356881111
Graduation Year
2013 (13 years ago)
PAC ID
6204208218
Group Practice PAC ID
8224369897
Professional Enrollment ID
I20241112003207
Address ID
NV890278879ME350XXPKWY405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

356 MENTAL HEALTH COUNSELOR in UT

Provider Addresses for MARTIN KOFORD (ACMHC)

  • 435 E TABERNACLE ST

    ST GEORGE, UT 847702979

    Phone: (435) 688-1111

    Fax: (435) 688-8488

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241111002479IMental Health CounselorUTTBD
I20241112003207IMental Health CounselorNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84770)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8224369897View full group profile
NameSpecialtyState
Marriage And Family TherapistUT
Marriage And Family TherapistUT
Nurse PractitionerUT
Nurse PractitionerUT
Marriage And Family TherapistUT
Clinical Social WorkerUT
Marriage And Family TherapistUT
Clinical Social WorkerNV
Nurse PractitionerUT
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

What is the 10-digit NPI for MARTIN KOFORD (ACMHC)?
MARTIN KOFORD (ACMHC) — NPI 1912335621 — is the standard way to identify this listing.
Can I rely on MARTIN KOFORD (ACMHC) being an active provider?
As of the registry snapshot, MARTIN KOFORD (ACMHC) is marked active.
What taxonomy line describes MARTIN KOFORD (ACMHC)?
For research purposes, treat MARTIN KOFORD (ACMHC) as Mental Health Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MARTIN KOFORD (ACMHC)?
MARTIN KOFORD (ACMHC)'s geographic hint is St George, Utah in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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