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: July 19, 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
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

Other Identifiers 1

Medicaid500809034OR

Accepted 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



The typical physician office visit costs for Medicare beneficiaries in this area are: $0 for a new patient copayment and $18.32 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 97216 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

  • Average New Patient Price $0
  • Minimum New Patient Price $58.99
  • Maximum New Patient Price $176.88
  • Average New Patient Copayment $0
  • Minimum New Patient Copayment $14.74
  • Maximum New Patient Copayment $44.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $73.28
  • Minimum Established Patient Price $19.32
  • Maximum Established Patient Price $144.79
  • Average Established Patient Copayment $18.32
  • Minimum Established Patient Copayment $4.83
  • Maximum Established Patient Copayment $36.19

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Social Worker (Clinical)
2404 SE 113TH AVE
PORTLAND, OR 97216

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497489280, enumerated as an "individual" on July 15, 2022.

The provider is located at 2404 SE 113TH AVE PORTLAND, OR 97216 and the phone number is (971) 258-0220.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.