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MATTHEW DUNHAM
NPI 1700159852
Marriage & Family Therapist in Rexburg, ID

Active since February 21, 2012PECOS EnrolledAccepts Medicare Assignment
1120 STOCKS AVE STE 102, REXBURG, ID 83440(801) 896-5345(801) 896-5334 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 Dunham NPPES

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

MATTHEW DUNHAM (NPI 1700159852) is an individual marriage & family therapist in Rexburg, Idaho, licensed in Utah (86348136004) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Clearfield, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1700159852
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMATTHEW DUNHAM
Location Address1120 STOCKS AVE STE 102Rexburg, ID 83440-3508
Mailing Address49 E 200 SClearfield, UT 84015-1047 · (801) 779-0095 · Fax (801) 779-0255
Phone(801) 896-5345
Fax(801) 896-5334
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateFebruary 21, 2012
Last NPPES UpdateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1700159852 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 UT · 86348136004
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 ListedCounselorTaxonomy 101Y00000X
1120 STOCKS AVE STE 102, Rexburg, ID 83440
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Secondary Practice Location 1

Location 149 E 200 SClearfield, UT 84015-1047 · Phone (801) 779-0095 · Fax (801) 779-0255

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, 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 Dunham 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 ID8224480140
PECOS Enrollment IDI20240116004633, I20240520003280
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 Dunham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Canvi Behavioral Health PLLC
73 mi
Psychiatric/Mental Health
4650 HAWTHORNE RD STE 3B
Chubbuck, ID 83202
  • Reassigned Medicare billing, Idaho and Utah enrollments
  • 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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
207 services16 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

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 Dunham's NPI number?

The NPI number for Matthew Dunham is 1700159852. It was assigned to this individual provider in the NPPES registry on February 21, 2012.

Where is Matthew Dunham located?

Matthew Dunham practices at 1120 Stocks Ave Ste 102, Rexburg, ID 83440. The listed phone number is (801) 896-5345.

What is Matthew Dunham's specialty?

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

Is Matthew Dunham enrolled in Medicare?

Yes. Matthew Dunham 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 Dunham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Dunham 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 Dunham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Dunham accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Utah and 2 other insurers list Matthew Dunham 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 Dunham 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.