Individual provider Active NPI

Laurie Berger-Jackson, PHD CLINICAL PSYCHOL

  • Addiction (Substance Use Disorder) Psychologist
  • Littleton, CO
National Provider Identifier
1174561641
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
582AC Issued in CO
Practice address
4498 E Phillips PL
Littleton, CO 80122
Phone
(720) 312-8691
Fax
(303) 694-1907
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2931 CO
Addiction (Substance Use Disorder) Psychologist 103TA0400X 582AC CO Primary
Counseling Psychologist 103TC1900X 2653 CO

Addresses

Primary practice location

4498 E Phillips PL
Littleton, CO 80122

Mailing address

4498 E Phillips PL
Littleton, CO 80122
Phone (720) 312-8691

Other names 1

  • Laurie C Berger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2931COMDCounselor
582ACCOMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1174561641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4498 E PHILLIPS PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "720-312-8691",
            "fax_number": "303-694-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4498 E PHILLIPS PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80122",
            "telephone_number": "720-312-8691",
            "fax_number": "303-694-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER-JACKSON",
        "first_name": "LAURIE",
        "name_prefix": "Dr.",
        "credential": "PHD CLINICAL PSYCHOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2931",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "582AC",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CO",
            "license": "2653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BERGER",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.