MATTHEW MCCOY (NPI# 1730568320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730568320 |
| Entity Type | Individual |
| Full Name | MATTHEW MCCOY |
| Credential | SUDP |
| Practice Address |
1044 11th Ave Longview WA 98632-2506 |
| Mailing Address |
Po Box 2394 Longview WA 98632 |
| Practice Telephone | 3603978228 |
| Practice Fax Number | 3602006736 |
| Mailing Telephone | 3602005419 |
| Mailing Fax Number | 3602006736 |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2020-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60796310 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2121804 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710492376 | Matthew Daniel Mccoy | Nurse Practitioner | 740 S Limestone L543, Lexington, KY 40536-0001 | 2017-12-05 |
| 1043835580 | Matthew K Mccoy | Optometrist | 3821 Veterans Memorial Pkwy, Saint Peters, MO 63376-6416 | 2020-06-10 |
| 1770989741 | Matthew Mccoy | Counselor | 6303 Osgood Ave N, Stillwater, MN 55082-6101 | 2014-11-18 |
| 1063854610 | Matthew Blair Mccoy | Optometrist | 1229 E Seminole St Ste 430, Springfield, MO 65804-2227 | 2013-07-24 |
| 1104961390 | Matthew D Mccoy | Family Medicine | 1700 N Marion St, Denver, CO 80218 | 2007-02-21 |
| 1548297534 | Matthew Scott Mccoy | Registered Nurse | 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-06-27 |
| 1851332886 | Matthew S Mccoy | Emergency Medicine | 1615 Delaware St, Longview, WA 98632-2310 | 2006-06-09 |
| 1659331759 | Matthew D Mccoy | Pathology | 6500 Excelsior Blvd, Minneapolis, MN 55426-4702 | 2006-03-24 |
| 1295794618 | Matthew Chandler Mccoy | Physical Therapist | 8380 Warren Pkwy, Suite 502, Frisco, TX 75034-4198 | 2006-03-23 |
| Street Address |
1044 11TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851347454 | Joyce Elaine Tobias | Nurse Practitioner | 1044 11th Ave, Suite A, Longview, WA 98632-2506 | 2006-05-25 |
| 1205454717 | Randi Lyn Powell Sexton | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2020-07-10 |
| 1821636143 | Bridie Jo Ann Rogers | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-12-17 |
| 1225596836 | Thomas Joseph Burckhardt Jr. | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-03-04 |
| 1689138729 | Alyssa Chana Fine | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-01-23 |
| 1285133876 | Angela Lynn Dunn | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2018-02-08 |
| 1710497839 | Christopher Leslie Standridge | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-10-03 |
| 1790215499 | Allison Taylor | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-06-14 |
| 1952840944 | Kelsey Delagrange | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-02-23 |
| 1679025019 | Leslie Pfannes | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2016-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144862913 | Kendra Piper | Counselor | 640 Olson Rd, Longview, WA 98632-5674 | 2019-10-14 |
| 1639635444 | G and T Young At Heart | Counselor | 1012 E Cotton St, Longview, TX 75602-1322 | 2019-02-17 |
| 1194293118 | Elaine Neagle | Counselor | 110 E Hawkins Pkwy Apt 2603, Longview, TX 75605-3694 | 2018-11-07 |
| 1932698008 | John Robert Potter | Counselor | 551 21st Ave, Longview, WA 98632-1303 | 2018-05-04 |
| 1265943658 | Lauri Anne Rowland | Counselor | 1839 1st Ave, Longview, WA 98632-3267 | 2017-10-12 |
| 1356709729 | Melissa A Huston | Counselor | 2401 Judson Rd Ste 104, Longview, TX 75605-4636 | 2016-02-01 |
| 1871859280 | Peter Thaddeaus Weiss | Counselor | 1301 Bent Tree Ln, Longview, TX 75605-9765 | 2012-04-10 |
| 1669743142 | Jane D Morris | Counselor | 522 N 1st St Apt 213, Longview, TX 75601-6435 | 2012-01-16 |
| 1891957205 | Krista R Heppe | Counselor | 1055 9th Ave Ste D, Longview, WA 98632-2661 | 2008-06-26 |
| 1811919392 | Sally Gossett Barron | Counselor | 107 Community Blvd Ste 1, Longview, TX 75605-6186 | 2006-07-24 |
| Find all providers in LONGVIEW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.