Sheena Marie Bergeron

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

126084 Issued in CA

Practice address

325 Buena Creek Rd
San Marcos, CA 92069-9679

Phone

(760) 754-5500

NPI assigned

Feb 16, 2018

Last updated

Jun 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Casa de Amparo

  dba Casa de Amparo STRTP B&C

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • San Marcos, CA
  • NPI 1174230650
  Authorized official Same address or phone

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1184124026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 E BARHAM DR APT 220",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787401",
            "telephone_number": "336-508-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 BUENA CREEK RD",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699679",
            "telephone_number": "760-754-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "SHEENA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-16",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "101580",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "4285",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Uamira Maria Beltran, RDH
• Tina Benedict, PPS
• Donald Richmond Bennett, M.D.
• Jessica Bentley
• Glory Benz
• Haley Bergman
• Jenna Marie Bergmark, DPT
• Connor Anthony Berk, LMFT
• Alan L Berkowitz, MD
• Damaris Bernal

• Marriage & Family Therapist in San Marcos, CA
• Providers in San Marcos, 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 Jun 6, 2023; 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.