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MR. DWAYNE A KIDWELL MA LMHC
NPI 1962555037
Counselor - Mental Health in Spokane, WA

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment
107 S DIVISION ST, SPOKANE, WA 99202(509) 838-4651(509) 363-2762 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Dwayne A Kidwell Ma Lmhc NPPES

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

MR. DWAYNE A KIDWELL MA LMHC (NPI 1962555037) is an individual mental health provider in Spokane, Washington, licensed in Washington (LH00010810) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1962555037
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DWAYNE A KIDWELLCredential: MA LMHC
Location Address107 S DIVISION STSpokane, WA 99202
Mailing Address107 S Division StSpokane, WA 99202-1510 · (509) 838-4651 · Fax (509) 363-2762
Phone(509) 838-4651
Fax(509) 363-2762
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJune 7, 2018
✔ NPI 1962555037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH00010810
107 S DIVISION ST, Spokane, WA 99202
Open in Google Maps ↗

Other Identifiers 1

Medicaid1962555037WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dwayne A Kidwell Ma Lmhc 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 ID3971948159
PECOS Enrollment IDI20240227003546
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 20

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

JAMIE ANN WAGLEY BSN, RN
Registered Nurse
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MICHAEL ROBERT SULLIVAN MSW
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. EMMA ELIZABETH MANNHALT
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MRS. JACQUELINE CLARISSA HOWARD
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
CLAUDIA ELIZABETH MIMNA
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MR. JASON HALL MACKEY
Counselor
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
MELISSA RENEE WATSON
Social Worker
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651
ALLAN D SANDERS MN ARNP
Nurse Practitioner (Family)
107 S DIVISION ST
SPOKANE, WA 99202
Spokane County (509) 838-4651

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 Dwayne Kidwell's NPI number?

The NPI number for Dwayne Kidwell is 1962555037. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Where is Dwayne Kidwell located?

Dwayne Kidwell practices at 107 S Division St, Spokane, WA 99202. The listed phone number is (509) 838-4651.

What is Dwayne Kidwell's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Dwayne Kidwell enrolled in Medicare?

Yes. Dwayne Kidwell 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.

What insurance does Dwayne Kidwell accept?

Health plans from Providence Health Plan list Dwayne Kidwell 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 Dwayne Kidwell was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.