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

Mathew Bergendahl

Individual provider Professional Counselor · NPI 1043946817

Mathew Bergendahl is a Professional Counselor in Olympia, Washington. Practices as a sole proprietor. Licensed in South Dakota.

Licensed in
SD
In the registry since
2022

Practice location Address checks out

5419 Courtney St SE
Olympia, WA 98513-4613
Phone: (360) 451-0611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC20177 (SD)

Record details

NPI number1043946817
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 25, 2022
Last updated in NPPESJuly 25, 2022
Certification dateJuly 25, 2022
Mailing address5419 Courtney St Se, Olympia, WA 98513-4613

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