Kathleen Ruth Bergen, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

128622 Issued in CA

Practice address

2001 N Van Ness Blvd
Fresno, CA 93704-6014

Phone

(559) 704-1758

NPI assigned

Jul 21, 2017

Last updated

Oct 2, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kathleen Ruth Bergen Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1144743022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 N VAN NESS BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937046014",
            "telephone_number": "559-704-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N VAN NESS BLVD",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937046014",
            "telephone_number": "559-704-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGEN",
        "first_name": "KATHLEEN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BERGEN",
            "middle_name": "RUTH",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Diane Berg
• Kori Elizabeth Berg, PHARMD, BCPS
• Ryan A Berg, M.D.
• Shohini C Berg
• David M Bergdahl, M.D.
• Michelle Elizabeth Bergen, FNP-BC
• Carly Ann Berger
• Caitlyn Bergeron
• Chet Berglund
• Cynthia Ann Bergmann, MD

• Marriage & Family Therapist in Fresno, CA
• Providers in Fresno, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.