KEVIN J KIDD
NPI 1770609901
Counselor - Professional in Bridgeton, MO

Active since March 21, 2007PECOS Enrolled
12355 DEPAUL DRIVE, BRIDGETON, MO 63044(314) 344-7200 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 9, 2025, Jun 1, 2023 (2 updates tracked since 2023).

About Kevin J Kidd NPPES

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

KEVIN J KIDD (NPI 1770609901) is an individual professional provider in Bridgeton, Missouri, licensed in Missouri (2015000874) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770609901
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKEVIN J KIDD
Location Address12355 DEPAUL DRIVEBridgeton, MO 63044
Mailing Address3309 S Kingshighway BlvdSaint Louis, MO 63139-1101 · (314) 206-3700
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1770609901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2015000874
12355 DEPAUL DRIVE, Bridgeton, MO 63044

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin J Kidd 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.

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
1032 CROSSWINDS CT
Wentzville, MO 63385
  • Reassigned Medicare billing, Missouri enrollment
  • 968 clinicians in this Medicare group

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 6

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

Social Worker
12355 DEPAUL DRIVE, SUITE 105
BRIDGETON, MO 63044
Community Health Worker
12355 DEPAUL DRIVE
BRIDGETON, MO 63044
Community Health Worker
12355 DEPAUL DRIVE
BRIDGETON, MO 63044
Counselor (Mental Health)
12355 DEPAUL DRIVE
BRIDGETON, MO 63044
Social Worker (Clinical)
12355 DEPAUL DRIVE
BRIDGTON, MO 63044
Counselor (Professional)
12355 DEPAUL DRIVE, SUITE 150
BRIDGETON, MO 63044

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 Kevin Kidd's NPI number?

The NPI number for Kevin Kidd is 1770609901. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Kevin Kidd located?

Kevin Kidd practices at 12355 Depaul Drive, Bridgeton, MO 63044. The listed phone number is (314) 344-7200.

What is Kevin Kidd's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kevin Kidd enrolled in Medicare?

Yes. Kevin Kidd is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Kidd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kidd reassigns Medicare benefits to Compass Health, Inc. (Wentzville, MO). 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 Kevin Kidd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Kidd accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Medica, Oscar Insurance Company and UnitedHealthcare list Kevin Kidd 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 Kevin Kidd was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.