Dawn Bergman LPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002009342 Issued in MO

Legal business name

DAWN BERGMAN LPC, LLC

Practice address

106 4 Seasonsshop Ctr
Suite 103B
Chesterfield, MO 63017-3173

Phone

(314) 392-9556

Fax

(314) 392-9558

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Dawn Bergman, LPC

Title

Owner

Phone

(314) 392-9556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Pamela Boutaugh

  • Professional Counselor
  • Chesterfield, MO
  • NPI 1114245438
  NPD (past)
• Bridget Nichole Thomas, MA LPC

  • Counselor
  • Chesterfield, MO
  • NPI 1215901210
  NPD (past)

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1326331687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 FOUR SEASONS CENTER",
            "address_2": "SUITE 103B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "63017",
            "telephone_number": "314-392-9556",
            "fax_number": "314-392-9558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 4 SEASONSSHOP CTR",
            "address_2": "SUITE 103B",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173173",
            "telephone_number": "314-392-9556",
            "fax_number": "314-392-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWN BERGMAN LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-392-9556",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002009342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495747016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Davis, D.C.
• Deborah Lynn Davis, RPH
• Leslie Davis, LPC
• Sheldon Leonard Davis, MD
• Glenn E. Davison, M.D.
• Nishea Day
• Pablo Daniel Dayer, MD
• Dana Daylor, OTR
• DBT Health, LLC
• Mandie De Vincentis, RN, MSN, ANP-BC

• Professional Counselor in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.