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REBECCA AMETHYST KINMAN LCSW
NPI 1497489280
Social Worker - Clinical in Portland, OR

Active since July 15, 2022PECOS EnrolledAccepts Medicare Assignment
2404 SE 113TH AVE, PORTLAND, OR 97216(971) 258-0220(971) 484-4002 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 16, 2026, Jul 20, 2022, Jul 15, 2022 (3 updates tracked since 2022).

About Rebecca Amethyst Kinman Lcsw NPPES

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

REBECCA AMETHYST KINMAN LCSW (NPI 1497489280) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L16209) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1497489280
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameREBECCA AMETHYST KINMANCredential: LCSW
Location Address2404 SE 113TH AVEPortland, OR 97216-4042
Mailing Address2404 Se 113th Ave Apt APortland, OR 97216-4042 · (971) 258-0220 · Fax (971) 484-4002
Phone(971) 258-0220
Fax(971) 484-4002
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 15, 2022
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1497489280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L16209
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselorTaxonomy 101Y00000X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2404 SE 113TH AVE, Portland, OR 97216
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Other Identifiers 1

Medicaid500809034OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.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

Rebecca Amethyst Kinman Lcsw 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 ID2466937057
PECOS Enrollment IDI20260401000809
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DYNAMIC THERAPY ALLIANCE, LLC
Social Worker (Clinical)
2404 SE 113TH AVE
PORTLAND, OR 97216
Multnomah County (971) 259-8022

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 Rebecca Kinman's NPI number?

The NPI number for Rebecca Kinman is 1497489280. It was assigned to this individual provider in the NPPES registry on July 15, 2022.

Where is Rebecca Kinman located?

Rebecca Kinman practices at 2404 SE 113th Ave, Portland, OR 97216. The listed phone number is (971) 258-0220.

What is Rebecca Kinman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Rebecca Kinman enrolled in Medicare?

Yes. Rebecca Kinman 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 Rebecca Kinman accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Rebecca Kinman 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 Rebecca Kinman was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.