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

Matthew Dunham

Individual provider Counselor · NPI 1700159852

Matthew Dunham is a Marriage and Family Therapist in Rexburg, Idaho. Qualified in 2013, 13 years ago. Practices with Canvi Behavioral Health PLLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
13
Licensed in
UT
In the registry since
2012
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1120 Stocks Ave Ste 102
Rexburg, ID 83440-3508
Phone: (801) 896-5345
Fax: (801) 896-5334
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 49 E 200 S, Clearfield, UT 84015-1047 — (801) 779-0095

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 86348136004 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1700159852
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 21, 2012
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address49 E 200 S, Clearfield, UT 84015-1047

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Canvi Behavioral Health Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rexburg