Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Stidd, MACMFC, MAT

Individual provider Counselor · NPI 1043768500

Kathleen Stidd, MACMFC, MAT is a Mental Health Counselor in Tigard, Oregon. Qualified in 2017, 9 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
9
Licensed in
OR
In the registry since
2016

Practice location Address checks out

11845 SW Greenburg Rd Ste 200
Tigard, OR 97223-6464
Phone: (503) 719-3878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C6419 (OR)

Record details

NPI number1043768500
Entity typeIndividual (Type 1)
GenderFemale
Credentials MACMFC , MAT
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023
Mailing address11845 Sw Greenburg Rd Ste 210, Tigard, OR 97223-6464

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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