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MATTHEW SPRAGUE KIDDER
NPI 1003302621
Counselor in Portland, OR

Active since July 06, 2018PECOS EnrolledAccepts Medicare Assignment
7330 SE 42ND AVE, PORTLAND, OR 97206(503) 358-2891 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 26, 2021, Jul 6, 2018 (2 updates tracked since 2018).

About Matthew Sprague Kidder NPPES

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

MATTHEW SPRAGUE KIDDER (NPI 1003302621) is an individual counselor in Portland, Oregon and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003302621
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMATTHEW SPRAGUE KIDDER
Location Address7330 SE 42ND AVEPortland, OR 97206-8404
Mailing Address7330 Se 42nd AvePortland, OR 97206-8404 · (503) 358-2891
Phone(503) 358-2891
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 6, 2018
Last NPPES UpdateJanuary 26, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2024
✔ NPI 1003302621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
7330 SE 42ND AVE, Portland, OR 97206
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

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

Matthew Sprague Kidder 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 ID2163964693
PECOS Enrollment IDI20240611004253
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 Matthew Kidder's NPI number?

The NPI number for Matthew Kidder is 1003302621. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Matthew Kidder located?

Matthew Kidder practices at 7330 SE 42nd Ave, Portland, OR 97206. The listed phone number is (503) 358-2891.

What is Matthew Kidder's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Matthew Kidder enrolled in Medicare?

Yes. Matthew Kidder 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.

What insurance does Matthew Kidder accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Matthew Kidder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Kidder was last updated on January 26, 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.