MR. MATTHEW DAVID BERTAGNOLE LPC
NPI 1902154081
Counselor - Professional in Casper, WY

Active since August 21, 2012
2417 E 15TH ST, CASPER, WY 82609(307) 247-1168 Get Directions Write a Review

NPPES record last updated: March 19, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Matthew David Bertagnole Lpc NPPES

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

MR. MATTHEW DAVID BERTAGNOLE LPC (NPI 1902154081) is an individual professional provider in Casper, Wyoming, licensed in Wyoming (LPC-1329) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1902154081
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MATTHEW DAVID BERTAGNOLECredential: LPC
Location Address2417 E 15TH STCasper, WY 82609-2942
Mailing Address4921 Rimrock DrBar Nunn, WY 82601-7703 · (307) 247-1168
Sole ProprietorYes
Enumeration DateAugust 21, 2012
Last NPPES UpdateMarch 19, 2013
NPI 1902154081 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 WY · LPC-1329
2417 E 15TH ST, Casper, WY 82609

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatric Hospital
2417 E 15TH ST
CASPER, WY 82609
Social Worker (Clinical)
2417 E 15TH ST
CASPER, WY 82609
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2417 E 15TH ST
CASPER, WY 82609
Physician Assistant
2417 E 15TH ST
CASPER, WY 82609
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2417 E 15TH ST
CASPER, WY 82609

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 Bertagnole's NPI number?

The NPI number for Matthew Bertagnole is 1902154081. It was assigned to this individual provider in the NPPES registry on August 21, 2012.

Where is Matthew Bertagnole located?

Matthew Bertagnole practices at 2417 E 15th St, Casper, WY 82609. The listed phone number is (307) 247-1168.

What is Matthew Bertagnole'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 Matthew Bertagnole was last updated on March 19, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.