Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043768500 Individual Practitioner Female Practitioner

Kathleen Stidd , MA CMFC, MAT

Counselor • Tigard, OR

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kathleen Stidd, MA CMFC, MAT is a certified Counselor practicing in Tigard, OR. With approximately 9 years of clinical experience since completing medical education in 2017, Kathleen Stidd delivers high-quality medical care to the local community at 11845 SW GREENBURG RD.

Kathleen Stidd accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11845 Sw Greenburg Rd
Suite 200

Tigard, OR 972236464

Telephone 5037193878
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Tigard, OR

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -1.3 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
118 Specialists

Practicing in Tigard, OR (4551 Statewide)

Telehealth Adoption Rate
0.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stidd (9 Years) 9 Yrs
Tigard Specialty Average (10.3 Years) 10.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-04-21
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OR C6419

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address April 21, 2023

Registered at 11845 SW GREENBURG RD STE 210, TIGARD, OR 972236464 (Tel: 5037193878)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2023

Counselor (License #C6419 in OR)

NPI Profile Active May 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 10, 2017

Registered at 11845 SW GREENBURG RD, SUITE 200, TIGARD, OR 972236464 (Tel: 5037193878)

📍
Updated Business Mailing Address May 10, 2017

Registered at 11845 SW GREENBURG RD, SUITE 200, TIGARD, OR 972236464 (Tel: 5037193878)

👤
Provider Name / Credentials Updated May 10, 2017

Recorded as KATHLEEN STIDD, MA CMFC, MAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2017

Marriage & Family Therapist (License #R4764 in OR)

NPI Profile Active September 13, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2016

Registered at 11825 SW GREENBURG RD STE 202-1, TIGARD, OR 972236460 (Tel: 9712640879)

📍
Updated Business Mailing Address September 13, 2016

Registered at 750 1ST ST, UNIT 25, LAKE OSWEGO, OR 970342317 (Tel: 5038197175)

👤
Provider Name / Credentials Updated September 13, 2016

Recorded as KATHLEEN STIDD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 13, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043768500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2016
Last Update: April 21, 2023
Sole Proprietor: No

Mailing Address

11845 Sw Greenburg Rd Ste 210

Tigard, OR 972236464

Phone: 5037193878

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.