LISA VAN BERGEN LPC LAC NPI 1447723010

NPI Information

NPI: 1447723010
Provider Name: LISA VAN BERGEN, LPC, LAC
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
1242 PAULINE AVE
CHARLESTON, SC
ZIP 29412
Phone: (843) 795-0238
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Lisa Van Bergen, LPC, LAC is a counselor in Charleston, SC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Lisa Van Bergen, LPC, LAC NPI is 1447723010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1242 PAULINE AVE
CHARLESTON, SC
ZIP 29412-030
Phone: (843) 795-0238
Fax: (843) 795-8290

The enumeration date for this NPI number is 1/7/2019 and was last updated on 1/7/2019.

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
1	101Y00000X	Counselor		2268	SOUTH CAROLINA	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	520	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2268	OTHER	SOUTH CAROLINA	STATE LICENSURE BOARD

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: 11/14/2023

NPI Synchronization or Removal

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