Bergman Counseling

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BERGMAN COUNSELING

Practice address

14 Willow LN
Jericho, VT 05465-2068

Phone

(802) 858-9369

NPI assigned

Jan 23, 2024

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anna Bergman, LCMHSNPI 1255079679

Title

Mental Health Counselor

Phone

(802) 858-9369

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anna Viktoria Bergman

  • Mental Health Counselor
  • Jericho, VT
  • NPI 1255079679
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1679334908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WILLOW LN",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WILLOW LN",
            "city": "JERICHO",
            "state": "VT",
            "postal_code": "054652068",
            "telephone_number": "802-858-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGMAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "802-858-9369",
        "authorized_official_credential": "LCMHS"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alive & Well LLC
• Elliott Benay, MA
• Anna Viktoria Bergman
• Sandra Anne Beynnon, BA, RDH
• Mary Bibb, IBCLC
• Jessa Carpenter, ADC
• Caryn Benevento-Munroe

• Adult Mental Health Clinic/Center in Jericho, VT
• Providers in Jericho, VT by specialty
• Adult Mental Health Clinic/Center in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.