1. Home
  2. Directory
  3. Idaho
  4. Chubbuck
  5. Marriage Family Therapist
  6. NPI Profile

MATTHEW KAM
NPI 1457646895
Marriage & Family Therapist in Chubbuck, ID

Active since June 14, 2011PECOS EnrolledAccepts Medicare Assignment
4650 HAWTHORNE RD STE 3B, CHUBBUCK, ID 83202(208) 252-5621(208) 648-4167 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Kam NPPES

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

MATTHEW KAM (NPI 1457646895) is an individual marriage & family therapist in Chubbuck, Idaho, licensed in Idaho (LPC5260) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boulder, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1457646895
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMATTHEW KAM
Location Address4650 HAWTHORNE RD STE 3BChubbuck, ID 83202-2376
Mailing Address4650 Hawthorne Rd Ste 3bChubbuck, ID 83202-2376 · (208) 252-5621 · Fax (208) 648-4167
Phone(208) 252-5621
Fax(208) 648-4167
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 14, 2011
Last NPPES UpdateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1457646895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in ID · LPC5260
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4650 HAWTHORNE RD STE 3B, Chubbuck, ID 83202
Open in Google Maps ↗

Other Names 1

Other Name (5)Matthew Kam

Secondary Practice Location 1

Location 11333 Iris AveBoulder, CO 80304-2226 · Phone (303) 443-8500

Accepted Insurance

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

Matthew Kam 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 ID6406178268
PECOS Enrollment IDI20240112001244
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Kam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Canvi Behavioral Health PLLC
Same address
Psychiatric/Mental Health
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
  • Reassigned Medicare billing, Idaho enrollment
  • 14 clinicians in this Medicare group
NPI 1144984873 (208) 252-5621

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRANDY LYNN GILEA MS-SLP
Speech-Language Pathologist
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 237-9833
SEASONS OF HOPE LLC
Home Health
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 237-9833
CANVI BEHAVIORAL HEALTH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 252-5621
ELLIE CATE CAMERON LPC
Counselor (Mental Health)
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 252-5621
MARGO NORTHRUP
Nurse Practitioner (Psychiatric/Mental Health)
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 252-5621
HYRUM DAVENPORT NP
Nurse Practitioner
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 252-5621
MARK SAPP
Religious Nonmedical Nursing Personnel
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 252-5621
MELAYNIA SAPP PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4650 HAWTHORNE RD STE 3B
CHUBBUCK, ID 83202
Bannock County (208) 252-5621

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 Kam's NPI number?

The NPI number for Matthew Kam is 1457646895. It was assigned to this individual provider in the NPPES registry on June 14, 2011.

Where is Matthew Kam located?

Matthew Kam practices at 4650 Hawthorne Rd Ste 3B, Chubbuck, ID 83202. The listed phone number is (208) 252-5621.

What is Matthew Kam's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Matthew Kam enrolled in Medicare?

Yes. Matthew Kam 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 Matthew Kam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Kam reassigns Medicare benefits to Canvi Behavioral Health PLLC (Chubbuck, ID). 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 Matthew Kam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Kam accept?

Health plans from Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Providence Health Plan list Matthew Kam 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 Kam was last updated on April 12, 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.