Individual provider Active NPI

Rhonda Michele Kidney, LPC

  • Mental Health Counselor
  • Corvallis, OR
National Provider Identifier
1053625384
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C5611 Issued in OR
Practice address
808 NW Buchanan Ave Ste 1
Corvallis, OR 97330-6260
Phone
(971) 301-5097
Fax
(971) 345-8015
NPI assigned
Jul 28, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C5611 OR Primary

Addresses

Primary practice location

808 NW Buchanan Ave Ste 1
Corvallis, OR 97330-6260

Mailing address

PO Box 645
Corvallis, OR 97339-0645
Phone (971) 301-5097

Other identifiers 1

IdentifierTypeStateIssuer
500776565MedicaidOR

Other names 1

  • Rhonda Michele Houdek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716002814 OR Practitioner - Mental Health Counselor 2264947399 Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1053625384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973390645",
            "telephone_number": "971-301-5097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 NW BUCHANAN AVE STE 1",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973306260",
            "telephone_number": "971-301-5097",
            "fax_number": "971-345-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIDNEY",
        "first_name": "RHONDA",
        "middle_name": "MICHELE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-28",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500776565",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "HOUDEK",
            "middle_name": "MICHELE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.