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

Matthew Kam

Individual provider Mental Health Counselor · NPI 1457646895

Matthew Kam is a Marriage and Family Therapist in Chubbuck, Idaho. Qualified in 2008, 18 years ago. Practices with Canvi Behavioral Health PLLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
18
Licensed in
ID
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

4650 Hawthorne Rd Ste 3B
Chubbuck, ID 83202-2376
Phone: (208) 252-5621
Fax: (208) 648-4167
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1333 Iris Ave, Boulder, CO 80304-2226 — (303) 443-8500

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LPC5260 (ID)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1457646895
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2011
Last updated in NPPESApril 12, 2024
Certification dateApril 12, 2024
Mailing address4650 Hawthorne Rd Ste 3b, Chubbuck, ID 83202-2376

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Canvi Behavioral Health Pllc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chubbuck