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MATTHEW CHARLES PITTMAN PURINTON LCSW
NPI 1700255163
Counselor - Mental Health in Philadelphia, PA

Active since September 16, 2015Opted out of Medicare · through Jun 2, 2028
4025 CHESTNUT STREET, FIRST FLOOR, COUNCIL FOR RELATIONSHIPS, PHILADELPHIA, PA 19104(215) 382-6680(215) 386-1743 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Charles Pittman Purinton Lcsw NPPES

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

MATTHEW CHARLES PITTMAN PURINTON LCSW (NPI 1700255163) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW018087) and active in the NPI registry since September 2015. He has opted out of Medicare through June 2, 2028.

NPPES Registry Identity

NPI1700255163
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMATTHEW CHARLES PITTMAN PURINTONCredential: LCSW
Location Address4025 CHESTNUT STREET, FIRST FLOOR, COUNCIL FOR RELATIONSHIPSPhiladelphia, PA 19104
Mailing Address4025 Chestnut Street, First Floor, Council For RelationshipsPhiladelphia, PA 19104 · (215) 382-6680 · Fax (215) 386-1743
Phone(215) 382-6680
Fax(215) 386-1743
Sole ProprietorNo
Enumeration DateSeptember 16, 2015
✔ NPI 1700255163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in PA · CW018087
4025 CHESTNUT STREET, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Matthew Charles Pittman Purinton Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 2, 2024 through June 2, 2028.

Opt-Out Effective DateJune 2, 2024
Opt-Out In Effect ThroughJune 2, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Purinton's NPI number?

The NPI number for Matthew Purinton is 1700255163. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Matthew Purinton located?

Matthew Purinton practices at 4025 Chestnut Street First Floor, Council For Relationships, Philadelphia, PA 19104. The listed phone number is (215) 382-6680.

What is Matthew Purinton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Matthew Purinton enrolled in Medicare?

No. Matthew Purinton has opted out of Medicare through June 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Matthew Purinton was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.