Rosimery Da Silva Lopes Bergeron, LPC, CRC, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3130 Issued in OR

Practice address

750 NW Charbonneau Dr.
Suite 211
Bend, OR 97703

Phone

(503) 917-1239

Fax

(888) 506-5070

NPI assigned

May 23, 2013

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1255778700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 716",
            "city": "CAMP SHERMAN",
            "state": "OR",
            "postal_code": "977300716",
            "telephone_number": "503-917-1239",
            "fax_number": "888-506-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 NW CHARBONNEAU DR.",
            "address_2": "SUITE 211",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97703",
            "telephone_number": "503-917-1239",
            "fax_number": "888-506-5070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "177 Whitman St S",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "OR",
            "postal_code": "973612034",
            "country_code": "US",
            "telephone_number": "503-917-1239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "ROSIMERY",
        "middle_name": "DA SILVA LOPES",
        "name_prefix": "Mr.",
        "credential": "LPC, CRC, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-23",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailey Cheryl Berg, CRM, PSS
• Lindsey Berg, DPT
• Siiri Berg, PT
• Lesley L Berger, PT
• Todd Berger, PHARMD
• Curtis Stanley Bergquist, MD
• David Bergstrom, DPT
• Lauren Berkey
• Liliana Janeth Bernabe Hernandez
• Jack E Berndt, MD

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; 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.