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MATHEW BERGENDAHL
NPI 1043946817
Counselor - Professional in Olympia, WA

Active since July 25, 2022
5419 COURTNEY ST SE, OLYMPIA, WA 98513(360) 451-0611 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mathew Bergendahl NPPES

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

MATHEW BERGENDAHL (NPI 1043946817) is an individual professional provider in Olympia, Washington, licensed in South Dakota (LPC20177) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1043946817
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMATHEW BERGENDAHL
Location Address5419 COURTNEY ST SEOlympia, WA 98513-4613
Mailing Address5419 Courtney St SeOlympia, WA 98513-4613 · (360) 451-0611
Phone(360) 451-0611
Sole ProprietorYes
Enumeration DateJuly 25, 2022
NPPES CertifiedJuly 25, 2022
✔ NPI 1043946817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in SD · LPC20177
5419 COURTNEY ST SE, Olympia, WA 98513
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mathew Bergendahl's NPI number?

The NPI number for Mathew Bergendahl is 1043946817. It was assigned to this individual provider in the NPPES registry on July 25, 2022.

Where is Mathew Bergendahl located?

Mathew Bergendahl practices at 5419 Courtney St SE, Olympia, WA 98513. The listed phone number is (360) 451-0611.

What is Mathew Bergendahl's specialty?

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

When was this NPI record last updated?

The NPPES record for Mathew Bergendahl was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.