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

Matthew Sprague Kidder

Individual provider Counselor · NPI 1003302621

Matthew Sprague Kidder is a Mental Health Counselor in Portland, Oregon. Qualified in 2018, 8 years ago. Accepts Medicare assignment.

Years since qualifying
8
In the registry since
2018
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

7330 SE 42nd Ave
Portland, OR 97206-8404
Phone: (503) 358-2891
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X

Record details

NPI number1003302621
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2018
Last updated in NPPESJanuary 26, 2024
Certification dateJanuary 26, 2024

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portland