Wesley Bertagnole

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13329991-6004 Issued in UT

Practice address

1930 S State St
Salt Lake City, UT 84115-2311

Phone

(307) 267-4049

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: wesley.bertagnole.1@14940.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1477234656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7088 S PALO VERDE WAY APT 32",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841216751",
            "telephone_number": "307-267-4049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S STATE ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841152311",
            "telephone_number": "307-267-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTAGNOLE",
        "first_name": "WESLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13329991-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Berry, CM
• Noah Berry
• Robert Berry, M.D.
• Lori Berryhill
• Kathryn Berryman
• Elin Bertheau
• Brianna Nincolette Berthoin-Hernandez, CCC-SLP
• Benjamin Berthold, PMHNP
• Kim C Bertin, MD
• Spencer Bertoch, M.D.

• Mental Health Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.