Individual provider Active NPI

Babette Angela Chatelle-Bergman, MA

  • Professional Counselor
  • Wildomar, CA
National Provider Identifier
1578223103
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14109 Issued in CA
Practice address
22877 Sweetbay Dr
Wildomar, CA 92595-8667
Phone
(951) 615-7499
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14109 CA Primary

Addresses

Primary practice location

22877 Sweetbay Dr
Wildomar, CA 92595-8667

Mailing address

24275 Jefferson Ave
Murrieta, CA 92562-7285
Phone (951) 677-5599

Other practice location 1

24275 Jefferson Ave
Murrieta, CA 92562-7285
Phone (951) 677-5599

Other names 1

  • Ms. Babette Angela Chatelle-Bergman Professional name

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1578223103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24275 JEFFERSON AVE",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925627285",
            "telephone_number": "951-677-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22877 SWEETBAY DR",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925958667",
            "telephone_number": "951-615-7499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24275 Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925627285",
            "country_code": "US",
            "telephone_number": "951-677-5599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHATELLE-BERGMAN",
        "first_name": "BABETTE",
        "middle_name": "ANGELA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BABETTE",
            "last_name": "CHATELLE-BERGMAN",
            "middle_name": "ANGELA",
            "prefix": "MS.",
            "credential": "MA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wildomar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.