Theresa A. Bjerklie, LCPC, LPC
Individual provider Active NPI Professional Counselor · Vail, CO
NPI 1669458535 · NPPES record last updated Aug 21, 2019
Key facts
- NPI
- 1669458535
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- Practice address
- 5174 Main Gore Dr S Unit B
Vail, CO 81657-5555 - Phone
- (970) 471-3099
- NPI assigned
- Dec 21, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Yes |
Addresses
Primary practice location
5174 Main Gore Dr S Unit B
Vail, CO 81657-5555
Mailing address
5174 Main Gore Dr S Unit B
Vail, CO 81657-5555
Phone (970) 471-3099
Other providers in Vail, CO
- Haley Elizabeth Berry
- Bert S Furmansky MD PC
- William Arnold Bevan Jr.
- Avanti Lal Bhatia
- Chantal Binder
- Devon Blitz
- Sarah Boak
- Abigail Bohn
- Ioanna Bolia
- Brian Bosl
All providers in Vail, CO · Professional Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2019. 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.