Heather Bergerson
Individual provider Active NPI Counselor · Taos, NM
NPI 1497190078 · NPPES record last updated May 8, 2013
Key facts
- NPI
- 1497190078
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1509 Paseo del Pueblo Sur
Taos, NM 87571-5922 - Phone
- (575) 758-7263
- NPI assigned
- May 8, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1509 Paseo del Pueblo Sur
Taos, NM 87571-5922
Mailing address
PO Box 28220
Santa Fe, NM 87592-8220
Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.