Bergen Psychological Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BERGEN PSYCHOLOGICAL SERVICES, INC.

Doing business as

Bergen Counseling Center
Bergen Counseling Collective

Practice address

4525 N Ravenswood Ave Ste 202
Chicago, IL 60640-8038

Phone

(312) 870-0500

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Jeremiah Bergen, MSNPI 1750611596

Title

President

Phone

(312) 600-7371

Specialties & licenses 1

Addresses

Other names 2

• Bergen Counseling Center Doing business as
• Bergen Counseling Collective Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremiah Bergen, LCPC

  • Mental Health Counselor
  • Chicago, IL
  • NPI 1750611596
  NPD Authorized official
• Morgan Eslinger, LCPC

  • Counselor
  • Chicago, IL
  • NPI 1770305401
  NPD (past)
• Sophia Villenas, LPC

  • Professional Counselor
  • Chicago, IL
  • NPI 1316727076
  NPD (past)

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1174819874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 N RAVENSWOOD AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408038",
            "telephone_number": "312-870-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 N RAVENSWOOD AVE STE 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606408038",
            "telephone_number": "312-870-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "BERGEN",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-600-7371",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bergen Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bergen Counseling Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Elizabeth Berg, MD
• Sara R Berg, M.D.
• Susan Marie Berg, B.S.,R.PH.
• Theodore F. Berg, PH.D.
• Raymond Bergan, MD
• Anne Bergen
• Carrie Bergen
• Donna C Bergen, MD
• Jennifer Gorman Bergen, FNP-BC, APRN
• Jeremiah Bergen, LCPC

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.