Individual provider Active NPI

Nicholas Adam Berger, MA, LPC,BCN

  • Professional Counselor
  • Longmont, CO
National Provider Identifier
1932504198
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0011628 Issued in CO
Practice address
720 100 Yearparty CT Ste 200
Longmont, CO 80504-8591
Phone
(720) 295-7427
Fax
(303) 833-4217
NPI assigned
Oct 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0011628 CO
Professional Counselor 101YP2500X LPC0011628 CO Primary

Addresses

Primary practice location

720 100 Yearparty CT Ste 200
Longmont, CO 80504-8591

Mailing address

720 100 Yearparty CT Ste 200
Longmont, CO 80504-8591
Phone (720) 295-7427

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20241202000641 CO Practitioner - Mental Health Counselor 7517492457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lighthouse Neurofeedback and Behavior Analysis IncGroup PAC ID 5890220867, 2 clinicians

Practice addresses (Care Compare)

720 100 Yearparty CT
Suite 200
Longmont, CO 80504-8591
Phone (720) 295-7427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC0011628COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Neurofeedback & Behavior Analysis, Inc. CurrentSince Sep 16, 2024 Accepting new patients
Lighthouse Neurofeedback & Behavior Analysis, Inc. Professional Past Accepting new patients

Locations

3080 Valmont Rd
Ste 220
Boulder, CO 80301
Phone (720) 772-7334

720 100 Year Party Ct
Ste 200
Longmont, CO 80504
Phone (720) 295-7427

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1932504198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 100 YEARPARTY CT STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048591",
            "telephone_number": "720-295-7427",
            "fax_number": "303-833-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 100 YEARPARTY CT STE 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048591",
            "telephone_number": "720-295-7427",
            "fax_number": "303-833-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER",
        "first_name": "NICHOLAS",
        "middle_name": "ADAM",
        "name_prefix": "Mr.",
        "credential": "MA, LPC,BCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-30",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0011628",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC0011628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.