Organization Active NPI

Emily Berg LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fort Collins, CO
National Provider Identifier
1265268445
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMILY BERG LLC
Practice address
420 S Howes St # A203
Fort Collins, CO 80521-2871
Phone
(970) 660-9501
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Emily Berg, LMFT, LACNPI 1770907354
Title
Owner
Phone
(970) 660-9501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

420 S Howes St # A203
Fort Collins, CO 80521-2871

Mailing address

420 S Howes St # A203
Fort Collins, CO 80521-2871
Phone (970) 660-9501

Other names 1

  • Emily Berg LLC Doing business as

National Provider Directory

National Provider Directory

Locations

420 S Howes St
#A203
Fort Collins, CO 80521
Phone (970) 232-6965

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1265268445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S HOWES ST # A203",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212871",
            "telephone_number": "970-660-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S HOWES ST # A203",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212871",
            "telephone_number": "970-660-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY BERG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-660-9501",
        "authorized_official_credential": "LMFT, LAC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emily Berg LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.