Bergan Counseling Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34007061A Issued in IN

Legal business name

BERGAN COUNSELING SERVICES LLC

Practice address

1945 W Royale Dr
Muncie, IN 47304-2265

Phone

(765) 283-5727

NPI assigned

Jan 31, 2015

Organization subpart

No

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

Authorized official

Name

Jamie Bergan

Title

Owner

Phone

(765) 283-5727

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1831589621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 W RIVERSIDE AVE",
            "address_2": "NONE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043861",
            "telephone_number": "765-283-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042265",
            "telephone_number": "765-283-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGAN COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "BERGAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-283-5727"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007061A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922403807",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle Bell, RBT
• Michelle Belt, MA CCC-SLP
• Betsy Benitez
• Anteysa Bennett
• Kerry D. Bennett, DO
• Jamie Bergan
• Jama Elizabeth Berkemeier, NP-C
• Jonathan Laurence Berkowitz, M.D., PH.D.
• Nicholas Berlon, M.D.
• Ashleigh Berman

• Clinical Social Worker in Muncie, IN
• Providers in Muncie, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; 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.