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MATTHEW CHAMP
NPI 1861341430
Counselor - Professional in Saint Paul, MN

Active since January 26, 2026PECOS Enrolled
771 RAYMOND AVE, SAINT PAUL, MN 55114(651) 243-2292 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Matthew Champ NPPES

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

MATTHEW CHAMP (NPI 1861341430) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (05358) and active in the NPI registry since January 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861341430
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATTHEW CHAMP
Location Address771 RAYMOND AVESaint Paul, MN 55114-1522
Mailing Address771 Raymond AveSaint Paul, MN 55114-1522 · (651) 243-2292
Phone(651) 243-2292
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 26, 2026
NPPES CertifiedJanuary 26, 2026
✔ NPI 1861341430 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 MN · 05358
771 RAYMOND AVE, Saint Paul, MN 55114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Champ is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486133840
PECOS Enrollment IDI20260206001236
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 Champ reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oliver Ross Psychology And Consulting LLC
Same address
Group Psychotherapy
771 RAYMOND AVE
Saint Paul, MN 55114
  • Reassigned Medicare billing, Minnesota enrollment
  • 11 clinicians in this Medicare group
NPI 1689030231 (651) 243-2292

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 11

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

MARGARET W DRUSCHEL MSW, LICSW
Social Worker (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (612) 567-6687
MARK HANTLA LPCC
Counselor (Mental Health)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (651) 243-2292
JUSTIN ROBERT JULSON
Counselor (Mental Health)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (651) 243-2292
ANNA LIFSON LGSW
Social Worker (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (651) 243-0058
DR. DAYSPRING MAE GOFORTH PHD
Psychologist
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (651) 243-2292
DR. OLIVER ROSS PSY.D.
Psychologist (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (612) 504-2315
ALEXA FETZER LP
Psychologist (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (651) 243-2292
OLIVER ROSS PSYCHOLOGY AND CONSULTING LLC
Psychologist (Group Psychotherapy)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (651) 243-2292

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 Champ's NPI number?

The NPI number for Matthew Champ is 1861341430. It was assigned to this individual provider in the NPPES registry on January 26, 2026.

Where is Matthew Champ located?

Matthew Champ practices at 771 Raymond Ave, Saint Paul, MN 55114. The listed phone number is (651) 243-2292.

What is Matthew Champ's specialty?

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

Is Matthew Champ enrolled in Medicare?

Yes. Matthew Champ is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Matthew Champ's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Champ reassigns Medicare benefits to Oliver Ross Psychology And Consulting LLC (Saint Paul, MN). 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 Champ's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Champ accept?

Health plans from HealthPartners list Matthew Champ 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 Champ was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.