OrganizationActive
Lightshinepdx LLC
NPI 1952171753 · Counselor · Portland, OR
Lightshinepdx LLC is a Counselor organization in Portland, OR (NPI 1952171753).
Provider details
- NPI number
- 1952171753
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Matthew Kidder, Owner(503) 358-2891
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4531 Se Belmont St Ste 121
Portland, OR 97215-1675
Phone: (503) 358-2891
Street-level locationGet directions
Mailing address
4531 Se Belmont St Ste 121
Portland, OR 97215-1675
Registry dates
- Enumerated
- 2024-01-03
- Last updated
- 2024-01-26
- Certified
- 2024-01-26
Frequently asked questions
- What is Lightshinepdx LLC's NPI number?
- Lightshinepdx LLC's National Provider Identifier (NPI) is 1952171753, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lightshinepdx LLC?
- Lightshinepdx LLC is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Lightshinepdx LLC located?
- Lightshinepdx LLC's practice location on file with NPPES is 4531 Se Belmont St Ste 121, Portland, OR 97215-1675.
- What is Lightshinepdx LLC's phone number?
- The practice phone number listed in the NPPES registry for Lightshinepdx LLC is (503) 358-2891.
- Who is the authorized official for Lightshinepdx LLC?
- The authorized official listed on Lightshinepdx LLC's NPPES record is Matthew Kidder, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lightshinepdx LLC's NPI active?
- Yes — Lightshinepdx LLC's NPI (1952171753) is active in the NPPES registry as of the last update on 2024-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.