Active NPI
Matthew Purdy, MA
- Professional Counselor
- Cross Lanes, WV
National Provider Identifier
1811769573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1084
- Practice address
- 36 Kathy LN
Cross Lanes, WV 25313-1285 - Phone
- (304) 786-2002
- NPI assigned
- Oct 26, 2023
- Last updated
- Apr 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | M3A140800018 | WV | |
| Professional Counselor | 101YP2500X | 1084 | WV | Primary |
Addresses
Primary practice location
36 Kathy LN
Cross Lanes, WV 25313-1285
Mailing address
36 Kathy LN
Cross Lanes, WV 25313-1285
Phone (304) 786-2002
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M3A140800018 | WV | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775520000000",
"number": "1811769573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 KATHY LN",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131285",
"telephone_number": "304-786-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 KATHY LN",
"city": "CROSS LANES",
"state": "WV",
"postal_code": "253131285",
"telephone_number": "304-786-2002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURDY",
"first_name": "MATTHEW",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-26",
"last_updated": "2026-04-07",
"certification_date": "2026-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "WV",
"license": "M3A140800018",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cross Lanes, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.