Lesa Gail Bergman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001029221 Issued in MO

Practice address

206 Centre on the LK
Lake St Louis, MO 63367-1370

Phone

(636) 699-2165

Fax

(636) 625-1633

NPI assigned

Nov 21, 2006

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1003981713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CENTRE ON THE LK",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671370",
            "telephone_number": "636-699-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 CENTRE ON THE LK",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671370",
            "telephone_number": "636-699-2165",
            "fax_number": "636-625-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "LESA",
        "middle_name": "GAIL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001029221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498442706",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD FOR CERT C",
            "identifier": "89520",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Behr, M.D.
• Montacer Belfancha, NP
• Devin Bell, D.O.
• Katherine Elizabeth Benenati, AGACNP
• Christine Benson
• Zoe Berte, MHS
• Shelly Lavonne Best, LCSW, MFT, CRTC, NPT
• Kelli Lyn Bles
• Madeleine B Bluecoo, COTA
• Audrey Anne Bolden, NP

• Professional Counselor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2015; 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.