LIGHTSHINEPDX LLC
NPI 1952171753
Counselor in Portland, OR

Q: What is Lightshinepdx LLC's NPI number?

The NPI number for Lightshinepdx LLC is 1952171753. It was assigned to this organization in the NPPES registry on January 3, 2024.

Q: What is Lightshinepdx LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Lightshinepdx LLC was last updated on January 26, 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.

Active since January 03, 2024

4531 SE BELMONT ST STE 121, PORTLAND, OR 97215(503) 358-2891 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Lightshinepdx Llc NPPES

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

LIGHTSHINEPDX LLC (NPI 1952171753) is a healthcare organization registered as a counselor in Portland, Oregon and active in the NPI registry since January 2024. The organization lists Matthew Sprague Kidder, Owner, as its authorized official.

NPPES Registry Identity

NPI1952171753

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameLIGHTSHINEPDX LLC

Location Address4531 SE BELMONT ST STE 121Portland, OR 97215-1675

Mailing Address4531 Se Belmont St Ste 121Portland, OR 97215-1675 · (503) 358-2891

Phone(503) 358-2891

Organization SubpartNo

Authorized OfficialMatthew Sprague KidderOwner · (503) 358-2891

Enumeration DateJanuary 3, 2024

Last NPPES UpdateJanuary 26, 2024

NPPES CertifiedJanuary 26, 2024

✔ NPI 1952171753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

4531 SE BELMONT ST STE 121, Portland, OR 97215

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Other Providers at the Same Location NPPES

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

DR. SHELBY KITTINGER PSYD

Psychologist

4531 SE BELMONT ST STE 121
PORTLAND, OR 97215

Multnomah County (971) 373-4810

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 Lightshinepdx LLC's NPI number?

The NPI number for Lightshinepdx LLC is 1952171753. It was assigned to this organization in the NPPES registry on January 3, 2024.

Where is Lightshinepdx LLC located?

Lightshinepdx LLC is located at 4531 SE Belmont St Ste 121, Portland, OR 97215. The listed phone number is (503) 358-2891.

What is Lightshinepdx LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Lightshinepdx LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Lightshinepdx LLC 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 Lightshinepdx LLC was last updated on January 26, 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.