Kelly Marie Bergstedt, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APN.0997967-NP Issued in CO

Practice address

1899 Denver West Dr Apt 1424
Golden, CO 80401-3137

Phone

(707) 362-0514

NPI assigned

Aug 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• West Peak Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Penngrove, CA
  • NPI 1154134534
  NPD Authorized official
• Overcomers Counseling

  • Professional Counselor
  • Colorado Springs, CO
  • NPI 1568016038

  Psychiatric/Mental Health

  NPD (past)

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1871213629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 DENVER WEST DR APT 1424",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013137",
            "telephone_number": "707-362-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 DENVER WEST DR APT 1424",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013137",
            "telephone_number": "707-362-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSTEDT",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997967-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Bendinelli
• Daniel S Bennett, M.D, DABPM
• Mitchell Berdie, PSY.D.
• Richard A. Bergeron, D.C.
• William Bergman, M.D.
• Rose Angel Bernal-Barrera, NP
• Jasmine Reeder Berno, LPCC
• Andrea Bettini, DPT
• Wendy Biesemeier, MS
• Amy Billingsley

• Psychiatric/Mental Health Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.