Toni R Bergeron, LPC, CADC III, CDP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C2297 Issued in OR

Practice address

1300 John Adams St
Suite 103
Oregon City, OR 97045-1695

Phone

(503) 841-8458

Fax

(503) 650-1970

NPI assigned

Dec 6, 2006

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

Other identifiers 1

Other names 1

• Ms. Toni R Waymire Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Women'S Enrichment Counseling

  • Substance Abuse Rehabilitation Facility
  • Oregon City, OR
  • NPI 1972011682
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1194884460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 W CLARENDON ST",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970272339",
            "telephone_number": "503-841-8459",
            "fax_number": "503-657-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 JOHN ADAMS ST",
            "address_2": "SUITE 103",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "970451695",
            "telephone_number": "503-841-8458",
            "fax_number": "503-650-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "TONI",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "LPC, CADC III, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C2297",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "07-06-65",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00005704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1194884460",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONI",
            "last_name": "WAYMIRE",
            "middle_name": "R",
            "prefix": "MS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsea Bennett
• Jake Bennett, QMHA
• Ryan Bennett, QMHA
• Joseph Benson
• Marisa Kathleen Benson
• Stephanie Ann Bergman, CADC I
• Jordan Bergmann
• Amen Temesgen Berhanu, QMHA
• Stephanie Alexis Lossinsky Berk, MSCN, NBC-HWC
• Eric Douglas Berkner, DMD

• Professional Counselor in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.