Susan Marie Bergman, MED., LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19 Issued in HI

Practice address

2052 Clement St
Honolulu, HI 96822-3328

Phone

(808) 256-7145

Fax

(808) 946-4458

NPI assigned

Nov 27, 2008

Last updated

Feb 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Susan Marie Kniebel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1227744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1609021054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61442",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968391442",
            "telephone_number": "808-256-7145",
            "fax_number": "808-946-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2052 CLEMENT ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968223328",
            "telephone_number": "808-256-7145",
            "fax_number": "808-946-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGMAN",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MED., LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-27",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "KNIEBEL",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "BS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick Berg
• Angela Maria Berger, MSCP
• Kelley Nohea Bergeron
• Kyle Bergeron
• George Bergholz, PSY. D.
• Timothy O. Berkley, PA-C
• Isaac Berlyn
• Janaki Elizabeth Berman, D.C.
• Steven J Berman, M.D.
• Saul A Bernal Ramos

• Mental Health Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.