Sara Bergeron, LCMHC
Individual provider Active NPI Mental Health Counselor · New London, NH
NPI 1962555243 · NPPES record last updated Oct 21, 2021
Key facts
- NPI
- 1962555243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 778 (NH)
- Practice address
- 35 Newport Rd
New London, NH 03257-5413 - Phone
- (603) 865-1321
- Fax
- (603) 865-1327
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Counseling Associates of New London PLLC
Practice addresses (Care Compare)
35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240102003160 | NH | Practitioner - Mental Health Counselor | 1850741943 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 778 | NH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Associates of New London PLLC | Mental Health | Current |
Accepting new patients |
Locations
251 Elm St
Claremont, NH 03743
Phone (603) 542-3800
2 Buck Rd
Ste C
Hanover, NH 03755
2 Buck Rd
Ste J
Hanover, NH 03755
Phone 6038651321 ext. 161
35 Newport Rd
New London, NH 03257
Phone (603) 526-4230
11 John Stark Hwy
Newport, NH 03773
Phone (603) 526-5203
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 778 | NH | Yes |
Addresses
Primary practice location
35 Newport Rd
New London, NH 03257-5413
Mailing address
35 Newport Rd
New London, NH 03257-5413
Phone (603) 865-1321
Other practice location 1
251 Elm St
Claremont, NH 03743-4940
Phone (603) 865-1321
Other practice location 2
53 South Main St
The Nugget Building Suites 206 & 208
Hanover, NH 03755-2022
Phone (603) 865-1321
Other practice location 3
2 Buck Rd Ste J
Hanover, NH 03755-2715
Phone (603) 865-1321
Other practice location 4
11 John Stark Hwy
Newport, NH 03773-1807
Phone (603) 865-1321
Other providers in New London, NH
- Gregory Michael Barban
- Charles Andrew Batt
- Leigh A Bears
- Sean Bears
- Pineal Bekere
- Andrew Best
- Stephen Nana Kwabena Bissah
- Anita Carol Black
- Laurel Blackman
- Garrett James Bomba
All providers in New London, NH · Mental Health Counselor in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.