Emily Bergum

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

700 Wolske Bay Rd Ste 210
Menomonie, WI 54751-1612

Phone

(715) 629-7047

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1205669702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3226 HIDDEN PL APT 4",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014960",
            "telephone_number": "608-385-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WOLSKE BAY RD STE 210",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511612",
            "telephone_number": "715-629-7047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGUM",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cloe Becher, LMT, MMP
• Tonia D. Behling, R.D.H.
• Rebecca J Behrens, P.T.
• Chelsey Marie Benner, OTR
• Dianne Marie Bennett, MS LPC
• Paula A Bernini Feigal, CPM
• Nichole Ashley Berryman, CRNA
• Dana Katherine Bessen, NP
• Suzanne Bilse, AUD CCCA
• Bird Chiropractic Office LLC

• Marriage & Family Therapist in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.