Active NPI
Deborah Berghuis, PHD, LPC, LPCC
- Professional Counselor
- Longmont, CO
National Provider Identifier
1629316658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0016707
- Practice address
- 3208 Lake Park Way Apt 302
Longmont, CO 80503-7804 - Phone
- (937) 344-3939
- NPI assigned
- Jan 25, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.1800686 | OH | |
| Professional Counselor | 101YP2500X | LPC.0016707 | CO | Primary |
Addresses
Primary practice location
3208 Lake Park Way Apt 302
Longmont, CO 80503-7804
Mailing address
PO Box 7146
Boulder, CO 80306-7146
Phone (937) 344-3939
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E.1800686 | Other | OH | CSWMFT BOARD |
| LPC.0016707 | Other | CO | COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO |
| LPC.0016707 | Other | CO | STATE BOARD OF LICENSED PROFESSIONAL COUNSELOR EXAMINERS |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0016707 | CO | MD | Professional Counselor |
| E.1800686 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1629316658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7146",
"city": "BOULDER",
"state": "CO",
"postal_code": "803067146",
"telephone_number": "937-344-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3208 LAKE PARK WAY APT 302",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805037804",
"telephone_number": "937-344-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERGHUIS",
"first_name": "DEBORAH",
"name_prefix": "Dr.",
"credential": "PHD, LPC, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-25",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.1800686",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0016707",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSWMFT BOARD",
"identifier": "E.1800686",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO DEPARTMENT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIO",
"identifier": "LPC.0016707",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF LICENSED PROFESSIONAL COUNSELOR EXAMINERS",
"identifier": "LPC.0016707",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.