Callie Denise Berg, LAPC
Individual provider Active NPI Professional Counselor · Fargo, ND
NPI 1063383370 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1063383370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 1488-9-1-25A (ND)
- Practice address
- 2701 12TH Ave S
Fargo, ND 58103-8753 - Phone
- (701) 451-4900
- Fax
- (651) 925-0057
- NPI assigned
- Sep 17, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1488-9-1-25A | ND | Yes |
Addresses
Primary practice location
2701 12TH Ave S
Fargo, ND 58103-8753
Mailing address
2701 12TH Ave S
Fargo, ND 58103-8753
Phone (701) 451-4900
Other providers in Fargo, ND
- Kimberly K Berdahl
- Emily Berdal
- Nicole Berend
- Erin D Berg-Gibbens
- Alexis Berg
- Carmen Berg
- Erik Berg
- Jaimee S Berg
- Kaci Michelle Berg
- Lauren Berg
All providers in Fargo, ND · Professional Counselor in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.