Active NPI
Lauren Jane Bergstrom, LPCC
- Counselor
- Fort Collins, CO
National Provider Identifier
1396557138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCC.0022740
- Practice address
- 2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581 - Phone
- (970) 414-0016
- NPI assigned
- Jan 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPCC.0022740 | CO | Primary |
Addresses
Primary practice location
2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581
Mailing address
2850 McClelland Dr Ste 2000
Fort Collins, CO 80525-2581
Phone (970) 414-0016
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPCC.0022740 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737331200000",
"number": "1396557138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 MCCLELLAND DR STE 2000",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252581",
"telephone_number": "970-414-0016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 MCCLELLAND DR STE 2000",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805252581",
"telephone_number": "970-414-0016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGSTROM",
"first_name": "LAUREN",
"middle_name": "JANE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-20",
"last_updated": "2025-01-20",
"certification_date": "2025-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "LPCC.0022740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.