Lisa Hinckley Berghorst, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071009411 Issued in IL

Practice address

939 W North Ave Ste 875
Chicago, IL 60642-7146

Phone

(773) 888-4422

NPI assigned

May 3, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Previously, effective Sep 3, 2014 through Sep 3, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Cognitive Behavioral Growth, LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1144869173
  NPD Authorized official
• Alvord Baker & Associates LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Rockville, MD
  • NPI 1316090673

  Psychologist

  NPD (past)

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576800000000",
    "number": "1922443944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 875",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427146",
            "telephone_number": "773-888-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W NORTH AVE STE 875",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606427146",
            "telephone_number": "773-888-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGHORST",
        "first_name": "LISA",
        "middle_name": "HINCKLEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-03",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "05085",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071009411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergeron Counseling PLLC
• Danielle Marie Bergeron, LCSW
• Sebastian Michael Bergeron, DC
• Senta Berggruen, MD
• Justyna Bergholz, RDN
• Sara Bergin, PT
• Emily Bergkoetter
• Claresta Leigh Bergman, PHARM.D.
• Deborah Lee Bergman, N.P.
• Jeffrey Bergman, MD

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.