JACOB BERGSTROM LPCC NPI 1255217998

NPI Information

  • NPI: 1255217998
  • Provider Name: JACOB BERGSTROM, LPCC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 55 MADISON ST STE 240
    DENVER, CO
    ZIP 80206
  • Phone: (970) 310-3406

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NPI Details

Jacob Bergstrom, LPCC is a professional counselor in Denver, CO. Jacob Bergstrom, LPCC NPI is 1255217998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

55 MADISON ST STE 240
DENVER, CO
ZIP 80206-451
Phone: (970) 310-3406

The enumeration date for this NPI number is 8/15/2025 and was last updated on 8/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)ACA.0008282COLORADONo
2101YM0800XCounselorMental HealthLPCC.0023748COLORADONo
3101YP2500XCounselorProfessionalLPCC.0023748COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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