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: August 02, 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
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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Counselor (Mental Health)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Social Worker (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Psychologist (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Psychologist (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Psychologist (Group Psychotherapy)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Social Worker (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114
Social Worker (Clinical)
771 RAYMOND AVE
SAINT PAUL, MN 55114

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.

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 6 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.