NPIMap

Organization Active NPI

Learngrow, LLC

  • Marriage & Family Therapist
  • Logan, UT
National Provider Identifier
1356869176
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136699-3902 Issued in UT
Legal business name
LEARNGROW, LLC
Practice address
55 E 100 N Ste 106
Logan, UT 84321-4680
Phone
(435) 755-0311
NPI assigned
Aug 31, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Authorized official

Name
Jennifer R. Bergman, MA, LMFTNPI 1316235799
Title
Clinical Psychotherapist
Phone
(435) 557-0311

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 136699-3902 UT Primary

Addresses

Primary practice location

55 E 100 N Ste 106
Logan, UT 84321-4680

Mailing address

221 W 200 N
Logan, UT 84321-3801
Phone (435) 755-0311

National Provider Directory

National Provider Directory

Locations

55 E 100 N
Ste 106
Logan, UT 84321
Phone (435) 755-0311

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": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504137600000",
    "number": "1356869176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W 200 N",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843213801",
            "telephone_number": "435-755-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E 100 N STE 106",
            "city": "LOGAN",
            "state": "UT",
            "postal_code": "843214680",
            "telephone_number": "435-755-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEARNGROW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "435-557-0311",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "UT",
            "license": "136699-3902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logan, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.