ARCHIE MAURICE PETTRY M.S. NPI 1821434622

NPI Information

  • NPI: 1821434622
  • Provider Name: ARCHIE MAURICE PETTRY, M.S.
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 701 ANTLER DR STE 110
    CASPER, WY
    ZIP 82601
  • Phone: (307) 466-8008

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NPI Details

Archie Maurice Pettry, M.S. is a professional counselor in Casper, WY. Archie Maurice Pettry, M.S. NPI is 1821434622. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

701 ANTLER DR STE 110
CASPER, WY
ZIP 82601-747
Phone: (307) 466-8008

The NPI 1821434622 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/20/2013 and was last updated on 5/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLPC-1522WYOMINGNo
2101YP2500XCounselorProfessionalLPC-1522WYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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