Kathy Jean Bergeron, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5290 Issued in MA

Practice address

35 Market St
Bridgewell 2ND Floor
Lowell, MA 01852-1805

Phone

(978) 459-0389

Fax

(978) 459-7642

NPI assigned

Feb 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

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

Opted out of Medicare

Previously, effective Sep 10, 2024 through Sep 10, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bridgewell, Inc

  • Community/Behavioral Health Agency
  • Lowell, MA
  • NPI 1033262860
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003942459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "address_2": "BRIDGEWELL 2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521805",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "address_2": "BRIDGEWELL 2ND FLOOR",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018521805",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "KATHY",
        "middle_name": "JEAN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "5290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brayden Beohner
• Danielle Nicole Berardis
• Marcia J Bergen, DO
• Carla Bergeron
• Kathryn H Bergeron, LICSW
• Sara Jean Bergeron
• Allison M. Bergskaug
• Paul Richard Berkeley, DPT
• Donna V. Berman, M.S., CCC-SLP
• Jonas J Berman, MD

• Mental Health Counselor in Lowell, MA
• Providers in Lowell, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.