Thomas James Bergerson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

340 Garfield St S
Cambridge, MN 55008-1772

Phone

(320) 982-0035

NPI assigned

Oct 7, 2022

Sex

Male

Sole proprietor

No

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

• Fernbrook Family Center, Inc

  • Social Worker
  • Owatonna, MN
  • NPI 1659483915

  MN

  Medicare reassignment NPD
• Lighthouse Child & Family Services

  • Community/Behavioral Health Agency
  • Foley, MN
  • NPI 1689861197
  NPD
• Awakened Connections Therapy

  • Clinical Social Worker
  • Milaca, MN
  • NPI 1205632346
  NPD (past)

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2024.

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1700501103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 10TH ST NW STE 2",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531737",
            "telephone_number": "320-983-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 GARFIELD ST S",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081772",
            "telephone_number": "320-982-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGERSON",
        "first_name": "THOMAS",
        "middle_name": "JAMES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Bendickson, PA-C
• Brigitte Bengtson, L.P.N
• Andrea Lorraine Benner, P.T.
• Douglas M Berg, MD
• Sarah C Berg, PA-C
• Dale A Berry, MD
• Best Hearing Products
• Richard C. Birdwell, DO
• Barbara T. Bispala, RD,LD,CDE
• Anna Marie Bjork, BS, LADC

• All providers in Cambridge, MN
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.