Colyn Berg, MSW, APSW, SAC-IT

Primary specialty

Social WorkerTaxonomy code 104100000X

License

135215-121 Issued in WI

Practice address

205 5TH Ave S Ste 508
La Crosse, WI 54601-4059

Phone

(608) 387-9638

NPI assigned

Feb 7, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 3 Rivers Counseling LLC

  • Professional Counselor
  • La Crosse, WI
  • NPI 1932952314
  NPD

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1659186708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E OLSON ST",
            "city": "BLAIR",
            "state": "WI",
            "postal_code": "546169307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 5TH AVE S STE 508",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546014059",
            "telephone_number": "608-387-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "COLYN",
        "credential": "MSW, APSW, SAC-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "20459-130",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851119332",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "WI",
            "license": "17013-137",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "135215-121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Sheajon Beran
• Gabriel T. Berendes, MD
• Doris V Beres, ANP
• Aaron Jay Berg, SW
• Amanda J Berg
• Laurence C Berg, MD
• Summer L Berg, LICSW
• Jamie Rose Berger
• Paul Anthony Bergl, MD
• Amanda Berkley, DC

• Social Worker in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.

Verify at the official NPI Registry.