Bergeron Counseling PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BERGERON COUNSELING PLLC

Practice address

1225 W Granville Ave Apt 3B
Chicago, IL 60660-1928

Phone

(708) 642-3422

NPI assigned

Sep 29, 2022

Organization subpart

No

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

Authorized official

Name

Colleen Hawking

Title

Managing Member

Phone

(708) 642-3422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1093439457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W GRANVILLE AVE APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601928",
            "telephone_number": "708-642-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W GRANVILLE AVE APT 3B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601928",
            "telephone_number": "708-642-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGERON COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "HAWKING",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "708-642-3422"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard A Berger, M.D.
• Robin W Berger, LCSW
• Scott Berger, D.C.
• Stuart Berger, MD
• Zoltan Berger
• Danielle Marie Bergeron, LCSW
• Sebastian Michael Bergeron, DC
• Senta Berggruen, MD
• Justyna Bergholz, RDN
• Lisa Hinckley Berghorst, PH.D.

• Community/Behavioral Health Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Community/Behavioral Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; 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.