MATTHEW MCCOY SUDP
NPI 1730568320
Counselor - Addiction (Substance Use Disorder) in Longview, WA

Active since May 28, 2015
1044 11TH AVE, LONGVIEW, WA 98632(360) 397-8228(360) 200-6736 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 30, 2020, Jun 29, 2016 (2 updates tracked since 2016).

About Matthew Mccoy Sudp NPPES

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

MATTHEW MCCOY SUDP (NPI 1730568320) is an individual addiction (substance use disorder) provider in Longview, Washington, licensed in Washington (CP60796310) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1730568320
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMATTHEW MCCOYCredential: SUDP
Location Address1044 11TH AVELongview, WA 98632-2506
Mailing AddressPo Box 2394Longview, WA 98632 · (360) 200-5419 · Fax (360) 200-6736
Fax(360) 200-6736
Sole ProprietorNo
Enumeration DateMay 28, 2015
Last NPPES UpdateOctober 30, 20202 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
NPI 1730568320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60796310
1044 11TH AVE, Longview, WA 98632

Other Identifiers 1

Medicaid2121804WA

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.

Nurse Practitioner (Family)
1044 11TH AVE
LONGVIEW, WA 98632
Counselor (Mental Health)
1044 11TH AVE
LONGVIEW, WA 98632
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
Counselor (Addiction (Substance Use Disorder))
1044 11TH AVE
LONGVIEW, WA 98632
Clinic/Center (Primary Care)
1044 11TH AVE
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1044 11TH AVE
LONGVIEW, WA 98632
Registered Nurse
1044 11TH AVE
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1044 11TH AVE
LONGVIEW, WA 98632

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 Mccoy's NPI number?

The NPI number for Matthew Mccoy is 1730568320. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Matthew Mccoy located?

Matthew Mccoy practices at 1044 11th Ave, Longview, WA 98632. The listed phone number is (360) 397-8228.

What is Matthew Mccoy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Matthew Mccoy was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.