KATHLEEN STIDD MA CMFC, MAT
NPI 1043768500
Counselor in Tigard, OR

Q: What is Kathleen Stidd's NPI number?

The NPI number for Kathleen Stidd is 1043768500. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Q: What is Kathleen Stidd's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Stidd was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 13, 2016PECOS EnrolledAccepts Medicare Assignment

11845 SW GREENBURG RD, SUITE 200, TIGARD, OR 97223(503) 719-3878 Get Directions Write a Review

NPPES record last updated: April 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2017, Sep 13, 2016 (2 updates tracked since 2016).

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About Kathleen Stidd Ma Cmfc, Mat NPPES

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

KATHLEEN STIDD MA CMFC, MAT (NPI 1043768500) is an individual counselor in Tigard, Oregon, licensed in Oregon (C6419) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043768500

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameKATHLEEN STIDDCredential: MA CMFC, MAT

Location Address11845 SW GREENBURG RD, SUITE 200Tigard, OR 97223-6464

Mailing Address11845 Sw Greenburg Rd Ste 210Tigard, OR 97223-6464 · (503) 719-3878

Phone(503) 719-3878

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 13, 2016

Last NPPES UpdateApril 21, 20232 updates tracked since enumeration

NPPES CertifiedApril 21, 2023

✔ NPI 1043768500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in OR · C6419

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.

11845 SW GREENBURG RD, Tigard, OR 97223

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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

Kathleen Stidd Ma Cmfc, Mat 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 ID2567996069

PECOS Enrollment IDI20241106002149

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 Kathleen Stidd's NPI number?

The NPI number for Kathleen Stidd is 1043768500. It was assigned to this individual provider in the NPPES registry on September 13, 2016.

Where is Kathleen Stidd located?

Kathleen Stidd practices at 11845 SW Greenburg Rd Suite 200, Tigard, OR 97223. The listed phone number is (503) 719-3878.

What is Kathleen Stidd's specialty?

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

Is Kathleen Stidd enrolled in Medicare?

Yes. Kathleen Stidd 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 Kathleen Stidd accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Kathleen Stidd 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 Kathleen Stidd was last updated on April 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.