Active NPI
Matthew Useda, LCSW
- Mental Health Counselor
- Boise, ID
National Provider Identifier
1962027532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20-QMHA-R-0445
- Practice address
- 1276 W River St
Boise, ID 83702-7066 - Phone
- (208) 338-4699
- Fax
- (208) 985-4135
- NPI assigned
- Jun 10, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | T-21-546 | OR | |
| Mental Health Counselor | 101YM0800X | 20-QMHA-R-0445 | OR | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | L17407 | ID |
Addresses
Primary practice location
1276 W River St
Boise, ID 83702-7066
Mailing address
1276 W River St Ste 100
Boise, ID 83702-7083
Phone (208) 338-4699
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500792873SUD | Medicaid | OR | |
| 500781020MH | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | websitesubmission@ndninc.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1276 W River St
Suite 100
Boise, ID 83702-7083
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L17407 | ID | MD | Addiction (Substance Use Disorder) Counselor |
| T-21-546 | OR | MD | Addiction (Substance Use Disorder) Counselor |
| 20-QMHA-R-0445 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Directions Northwest, Inc | Current | Accepting new patients | |
| Access Behavioral Health Services, Inc | Past | Accepting new patients |
Locations
3975 Midway Dr
Baker City, OR 97814
Phone (541) 406-4999
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Boise, ID
- NPI 1487700589
-
- Community/Behavioral Health Agency
- Baker City, OR
- NPI 1235124462
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Boise, ID
- NPI 1962018564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1962027532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1276 W RIVER ST STE 100",
"city": "BOISE",
"state": "ID",
"postal_code": "837027083",
"telephone_number": "208-338-4699",
"fax_number": "208-985-4135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1276 W RIVER ST",
"city": "BOISE",
"state": "ID",
"postal_code": "837027066",
"telephone_number": "208-338-4699",
"fax_number": "208-985-4135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "USEDA",
"first_name": "MATTHEW",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-10",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OR",
"license": "T-21-546",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "20-QMHA-R-0445",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "L17407",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500792873SUD",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500781020MH",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "websitesubmission@ndninc.org",
"affiliation": "N",
"endpointDescription": "secure email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3425 13th St",
"city": "Baker City",
"state": "OR",
"country_code": "US",
"postal_code": "978141340",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.