MELISSA RENEE KIDMAN
NPI 1487154555
Counselor in Eugene, OR

Active since February 15, 2018PECOS Enrolled
1258 HIGH ST, EUGENE, OR 97401(541) 342-8437 Get Directions Write a Review

NPPES record last updated: February 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Melissa Renee Kidman NPPES

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

MELISSA RENEE KIDMAN (NPI 1487154555) is an individual counselor in Eugene, Oregon and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487154555
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMELISSA RENEE KIDMAN
Location Address1258 HIGH STEugene, OR 97401-3238
Mailing Address1258 High StEugene, OR 97401-3238
Sole ProprietorYes
Enumeration DateFebruary 15, 2018
NPI 1487154555 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.

1258 HIGH ST, Eugene, OR 97401

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Melissa Renee Kidman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
1258 HIGH ST
EUGENE, OR 97401
Peer Specialist
1258 HIGH ST
EUGENE, OR 97401
Counselor
1258 HIGH ST
EUGENE, OR 97401
Peer Specialist
1258 HIGH ST
EUGENE, OR 97401
Social Worker (Clinical)
1258 HIGH ST
EUGENE, OR 97401
Counselor
1258 HIGH ST
EUGENE, OR 97401
Social Worker (Clinical)
1258 HIGH ST
EUGENE, OR 97401
Counselor (Addiction (Substance Use Disorder))
1258 HIGH ST
EUGENE, OR 97401

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 Melissa Kidman's NPI number?

The NPI number for Melissa Kidman is 1487154555. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Melissa Kidman located?

Melissa Kidman practices at 1258 High St, Eugene, OR 97401. The listed phone number is (541) 342-8437.

What is Melissa Kidman's specialty?

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

Is Melissa Kidman enrolled in Medicare?

Yes. Melissa Kidman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Melissa Kidman was last updated on February 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.