KATHLEEN WALSH MATAY MA, LPC, CCTP
NPI 1043817943
Counselor - Professional in Mc Lean, VA

Q: What is Kathleen Matay's NPI number?

The NPI number for Kathleen Matay is 1043817943. It was assigned to this individual provider in the NPPES registry on October 4, 2020.

Q: What is Kathleen Matay's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Kathleen Matay was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2020PECOS EnrolledAccepts Medicare Assignment

1360 BEVERLY RD STE 200, MC LEAN, VA 22101(703) 831-8300 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 11, 2024, Oct 4, 2020 (2 updates tracked since 2020).

On this page

About Kathleen Walsh Matay Ma, Lpc, Cctp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN WALSH MATAY MA, LPC, CCTP (NPI 1043817943) is an individual professional provider in Mc Lean, Virginia, licensed in Virginia (0701013405) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1043817943

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKATHLEEN WALSH MATAYCredential: MA, LPC, CCTP

Location Address1360 BEVERLY RD STE 200Mc Lean, VA 22101-3647

Mailing Address440 Seneca RdGreat Falls, VA 22066-1111 · (703) 298-8958

Phone(703) 831-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateOctober 4, 2020

Last NPPES UpdateApril 11, 20242 updates tracked since enumeration

NPPES CertifiedApril 11, 2024

✔ NPI 1043817943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701013405

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1360 BEVERLY RD STE 200, Mc Lean, VA 22101

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathleen Walsh Matay Ma, Lpc, Cctp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901246057

PECOS Enrollment IDI20250213002562

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAY-LOR A SMITH LPC

Counselor (Professional)