Lori Bergeron
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Putnam, CT
NPI 1184095960 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1184095960
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 391 Pomret Street
Putnam, CT 06260 - Phone
- (860) 963-4971
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Resources, Inc. | Current |
Accepting new patients | |
| Community Health Resources, Inc. | Current |
Accepting new patients |
Locations
153 Hazard Ave
Enfield, CT 06082
Phone (860) 253-5020
444 Center St
Manchester, CT 06040
Phone (860) 646-3888
391 Pomfret St
Putnam, CT 06260
Phone (860) 963-4971
995 Day Hill Rd
Windsor, CT 06095
Phone (860) 697-3351
2 Waterside Xing
Ste 401
Windsor, CT 06095
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes | ||
| Counselor | 101Y00000X |
Addresses
Primary practice location
391 Pomret Street
Putnam, CT 06260
Mailing address
2 Waterside Xing Ste 401
Windsor, CT 06095-1588
Phone (860) 731-5522
Other providers in Putnam, CT
- Kathryn Bellavance
- Jillian Bellman
- Ruth G Benet
- Camille Benjamin
- Monalisa Y Bentley Mitchell
- Jennifer Berk
- Eileen Ann Berti
- Lisa Bessette Grover
- Gabrielle Betancourt
- Larry Beverly II
All providers in Putnam, CT · Addiction (Substance Use Disorder) Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.