Individual provider Active NPI

Hermine Cohen-Bergen, LCSW

  • Mental Health Counselor
  • Parker, CO
National Provider Identifier
1710274733
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
989743 Issued in CO
Practice address
16154 Rock Crystal Dr
Parker, CO 80134-3305
Phone
(720) 940-8531
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 989743 CO Primary

Addresses

Primary practice location

16154 Rock Crystal Dr
Parker, CO 80134-3305

Mailing address

906 Milo Cir Apt B
Lafayette, CO 80026-3037
Phone (303) 666-1969

Other names 1

  • Hermine Cohen-Bergen Other name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
989743COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309305600000",
    "number": "1710274733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MILO CIR APT B",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263037",
            "telephone_number": "303-666-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16154 ROCK CRYSTAL DR",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343305",
            "telephone_number": "720-940-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-BERGEN",
        "first_name": "HERMINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "989743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HERMINE",
            "last_name": "COHEN-BERGEN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Parker, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.