KIMBERLY CANTONWINE M.A.
NPI 1104232032
Counselor - Mental Health in Portland, OR
About Kimberly Cantonwine M.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY CANTONWINE M.A. (NPI 1104232032) is an individual mental health provider in Portland, Oregon and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Kimberly Cantonwine M.a. 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 Kimberly Cantonwine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Vancouver, WA 98662
- Reassigned Medicare billing, Washington enrollment
- 225 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97206
PORTLAND, OR 97206
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 Kimberly Cantonwine's NPI number?
The NPI number for Kimberly Cantonwine is 1104232032. It was assigned to this individual provider in the NPPES registry on July 11, 2014.
Where is Kimberly Cantonwine located?
Kimberly Cantonwine practices at 2415 SE 43rd Ave Ste 200, Portland, OR 97206. The listed phone number is (503) 238-0705.
What is Kimberly Cantonwine's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kimberly Cantonwine enrolled in Medicare?
Yes. Kimberly Cantonwine 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 Kimberly Cantonwine's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Cantonwine reassigns Medicare benefits to Western Psychological And Counseling Services LLC (Vancouver, WA). 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 Kimberly Cantonwine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kimberly Cantonwine accept?
Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly Cantonwine 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 Kimberly Cantonwine was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kimberly Cantonwine, M.A. · NPI 1104232032
Mental Health provider in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 11, 2014.
## Identity
- **NPI:** 1104232032 (Entity type: Individual)
- **Enumerated:** July 11, 2014
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 2415 SE 43RD AVE STE 200, Portland, OR 97206-1671
- **Phone:** (503) 238-0705
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Western Psychological And Counseling Services LLC (NPI 1629345731, Vancouver, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** March 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1104232032) · Data from the CMS NPPES public registry.