KATHRYN A BERGERON LCMHC NPI 1477566065

NPI Information

NPI: 1477566065
Provider Name: KATHRYN A BERGERON, LCMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2688 ROY MOUNTAIN ROAD
BARNET, VT
ZIP 05821
Phone: (802) 633-3632
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Kathryn A Bergeron, LCMHC is a mental health counselor in Barnet, VT. Kathryn A Bergeron, LCMHC NPI is 1477566065. 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:

2688 ROY MOUNTAIN ROAD
BARNET, VT
ZIP 05821
Phone: (802) 633-3632

The enumeration date for this NPI number is 8/14/2006 and was last updated on 7/9/2007.

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	101YM0800X	Counselor	Mental Health	068-0000541	VERMONT	Yes

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	080-58463	OTHER	VERMONT	BLUE CROSS BLUE SHIELD
2	1008471	MEDICAID	VERMONT
3	2086238	OTHER	VERMONT	CIGNA
4	IP562608	OTHER	VERMONT	MAGELLON
5	21219232904	OTHER	VERMONT	BEECH STREET
6	610252	OTHER	VERMONT	MVP HEALTH PLAN

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: 5/5/2024

NPI Synchronization or Removal

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