Individual provider Active NPI

Matthew Useda, LCSW

  • Mental Health Counselor
  • Boise, ID
National Provider Identifier
1962027532
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20-QMHA-R-0445 Issued in OR
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

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500792873SUDMedicaidOR
500781020MHMedicaidOR

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260324003286 ID Practitioner - Clinical Social Worker 4587148804 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
L17407IDMDAddiction (Substance Use Disorder) Counselor
T-21-546ORMDAddiction (Substance Use Disorder) Counselor
20-QMHA-R-0445ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Directions Northwest, Inc CurrentSince Jun 1, 2020 Accepting new patients
Access Behavioral Health Services, Inc PastSince Sep 20, 2020 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.

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

Verify at the official NPI Registry.