JEROME C BERNDT LICSW & LMFT NPI 1770705337

NPI Information

NPI: 1770705337
Provider Name: JEROME C BERNDT, LICSW & LMFT
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address: 215 SE 2ND AVE
GRAND RAPIDS, MN
ZIP 55744
Phone: (218) 326-1274

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NPI Details

Jerome C Berndt, LICSW & LMFT is a marriage family therapist in Grand Rapids, MN. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. Jerome C Berndt, LICSW & LMFT NPI is 1770705337. 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:

215 SE 2ND AVE
GRAND RAPIDS, MN
ZIP 55744-615
Phone: (218) 326-1274
Fax: (218) 326-8255

The enumeration date for this NPI number is 5/3/2007 and was last updated on 5/20/2008.

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	104100000X	Social Worker		00563	MINNESOTA	No
2	106H00000X	Marriage & Family Therapist		36	MINNESOTA	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	69264BE	OTHER	MINNESOTA	BCBS OF MINNESOTA
2	70235700	MEDICAID	MINNESOTA
3	1009418	OTHER	MINNESOTA	PREFERRED ONE
4	62-20162	OTHER	MINNESOTA	UNITED BEHAVIORAL HEALTH

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: 3/30/2025

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