MR. MATTHEW DAVID BERTAGNOLE


Address: 2417 E 15th St, Casper, WY 82609-2942
Phone: 3072471168

MR. MATTHEW DAVID BERTAGNOLE (NPI# 1902154081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902154081
Entity Type Individual
Full Name MR. MATTHEW DAVID BERTAGNOLE
Credential LPC
Practice Address 2417 E 15th St
Casper
WY 82609-2942
Mailing Address 4921 Rimrock Dr
Bar Nunn
WY 82601-7703
Practice Telephone 3072471168
Mailing Telephone 3072471168
Enumeration Date 2012-08-21
Last Update Date 2013-03-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC-1329 WY Behavioral Health & Social Service Providers

Office Location

Street Address 2417 E 15TH ST
City CASPER
State WY
Zip Code 82609-2942

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295764512 Wyoming Behavioral Institute Psychiatric Hospital 2417 E 15th St, Casper, WY 82609-2942 2006-06-30
1720451610 Carrie Whiting Physician Assistant 2417 E 15th St, Casper, WY 82609-2942 2015-11-02
1285006163 Stephen Brown and Associates Physician Assistant 2417 E 15th St, Casper, WY 82609-2942 2015-10-30
1689067506 Sarah Burt Registered Nurse 2417 E 15th St, Casper, WY 82609-2942 2015-03-17
1619273075 Lynnette Kay Mclagan Physician Assistant 2417 E 15th St, Casper, WY 82609-2942 2011-02-02
1285710533 Steven L. Brown M.d. Psychiatry & Neurology 2417 E 15th St, Casper, WY 82609-2942 2006-10-30
1922182518 Joanne Patricia Robinson Social Worker 2417 E 15th St, Casper, WY 82609-2942 2006-10-24
1649353210 Stephen L Brown Psychiatry & Neurology 2417 E 15th St, Casper, WY 82609 2006-10-24
1639277064 Graciela M Valenzuela Counselor 2417 E 15th St, Casper, WY 82609-2942 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1265047773 Backcountry Dox, LLC Family Medicine 1320 Morado Dr, Casper, WY 82609 2020-09-11
1174158273 Harmony Case Management LLC Case Management 219 S Sinclair Pl, Casper, WY 82609 2020-03-09
1427417815 Haley Perl Speech-Language Pathologist 2510 E 15th St Ste 15, Casper, WY 82609 2016-02-15
1538550496 Andrea Renee Swanson Counselor 2015 E. 15th St., Suite 10, Casper, WY 82609 2015-02-13
1619386901 Kmart Pharmacy Pharmacy 4000 East 2nd, Casper, WY 82609 2014-08-12
1306268628 Kati Jo Tuma Physician Assistant 6600 E. 2nd Street, Casper, WY 82609 2014-01-07
1609297506 Summit Medical Center, LLC General Acute Care Hospital 6350 E. 2nd Street, Casper, WY 82609 2013-12-18
1013354158 Phillip Hermon Registered Nurse 2515 East 8th St, Casper, WY 82609 2013-05-30
1992141527 Wind City Dental Dentist 1530 Centennial Court, Casper, WY 82609 2013-05-22
1235404930 Melanie Anne Connell Counselor 2955 E. 2nd St., Casper, WY 82609 2012-03-13
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053920280 Christopher Aaron Poe Counselor 1030 N Poplar St Ste B, Casper, WY 82601-1378 2020-07-23
1942851019 Cassidy Diane Provo Counselor 2241 Farnum St Ste 102, Casper, WY 82609-4108 2019-09-20
1336690643 Leigh Yaughn Counselor 76 Dahlia St, Casper, WY 82604-4054 2016-10-21
1649645466 Brooke N White Counselor 933 W 14th St Ste 1, Casper, WY 82601-3561 2015-12-04
1538550496 Andrea Renee Swanson Counselor 2015 E. 15th St., Suite 10, Casper, WY 82609 2015-02-13
1952706822 Sweetwater Counseling Counselor 3211 Energy Ln Ste 402, Casper, WY 82604-2963 2014-11-04
1992109441 Christy Lee Jindrick Tholl Counselor 4155 Legion Ln Ste 3, Casper, WY 82609-1945 2014-10-13
1851722482 Kelsey L Mammen Counselor 580 Granite Peak Dr Apt 207, Casper, WY 82609-4529 2013-12-08
1538456231 Robert Paul Maddox II Counselor 123 W 1st St Ste 208b, Casper, WY 82601-2480 2011-07-01
1710279302 Linda Christine Butts Counselor 411 S Walsh Dr, Suite 135a, Casper, WY 82609-2306 2011-05-14
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Competitor

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City CASPER
Zip Code 82609

Improve Information

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Dataset Information

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.

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