Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Herbert Matanga, CNP

Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Rogers, MN · enumerated 2024 · practices at Good State of Mind and Medical Cannabis Psychiatric Clinic.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003664525

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Registry record

Entity type Individual (Type 1)

Name Herbert Matanga

Credential CNP

Sex Male

Practice address 19427 136th Ave N, Rogers, MN, 55374

Phone (763) 516-4476

Enumeration date May 9, 2024

Last updated in NPPES May 9, 2024

Taxonomy & licenses

364SP0807X Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers · License 11557 (MN) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Herbert Matanga practice?

The practice location on file with NPPES is in Rogers, MN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Herbert Matanga?

The National Provider Identifier (NPI) for Herbert Matanga is 1003664525, a Type 1 (individual) record in the CMS NPPES registry.

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Good State of Mind and Medical Cannabis Psychiatric Clinic Psychiatric/Mental Health Nurse Practitioner · Rogers, MN NPI 1790621282

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-05-09.