Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Archie Maurice Pettry III, MS

Individual provider Mental Health Counselor · NPI 1821434622

Archie Maurice Pettry III, MS is a Mental Health Counselor in Casper, Wyoming. Qualified in 2011, 15 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
15
Licensed in
WY
In the registry since
2013
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

701 Antler Dr Ste 110
Casper, WY 82601-1747
Phone: (307) 466-8008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-1522 (WY)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPC-1522 (WY)

Record details

NPI number1821434622
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedMay 20, 2013
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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