Matthew Dunham
NPI 1700159852ActiveIndividual· Marriage & Family Therapist· Rexburg, ID
Marriage & Family Therapist with Canvi Behavioral Health PLLC, practicing in Rexburg, Idaho. Medicare paid $20,875 for services to 17 patients in 2024.
Overview
| NPI | 1700159852 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 21, 2012 |
| Last updated in NPPES | Apr 12, 2024 |
| Certified by provider | Apr 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 86348136004 | UT |
| Counselor | 101Y00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Marriage and Family Therapist (ID); Practitioner - Marriage and Family Therapist (UT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 17 |
|---|---|
| Services billed | 259 across 5 procedure codes |
| Paid by Medicare | $20,875 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Marriage And Family Therapist |
Medical group
- Canvi Behavioral Health PLLCPocatello, ID · 14 clinicians
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All 26 marriage and family therapists in Rexburg · All marriage and family therapists in Idaho