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

Kimberly Cantonwine, MA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104232032

Kimberly Cantonwine, MA is a Mental Health Counselor in Portland, Oregon. Qualified in 2013, 13 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2014
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

2415 SE 43rd Ave Ste 200
Portland, OR 97206-1671
Phone: (503) 238-0705
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence R3328 (OR)

Record details

NPI number1104232032
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJuly 11, 2014
Last updated in NPPESMarch 12, 2020
Certification dateMarch 12, 2020

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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