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MRS. JACKIE MARIE BERGE
NPI 1124632518
Counselor - Mental Health in Olympia, WA

Active since September 02, 2020
3436 MARY ELDER RD NE, OLYMPIA, WA 98506(360) 528-2590 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Jackie Marie Berge NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JACKIE MARIE BERGE (NPI 1124632518) is an individual mental health provider in Olympia, Washington, licensed in Washington (RN00053908) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1124632518
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JACKIE MARIE BERGE
Location Address3436 MARY ELDER RD NEOlympia, WA 98506-5050
Mailing Address3336 Long Lake Dr SeOlympia, WA 98503-4048 · (360) 438-1411
Phone(360) 528-2590
Sole ProprietorYes
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1124632518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · RN00053908
3436 MARY ELDER RD NE, Olympia, WA 98506
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SARAH K AUGUSTINE MT-BC, AAC
Music Therapist
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590
SHADONNA KLINKENBERG RN
Counselor (Mental Health)
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590
MISS KATHERINE DANIELLE LIAM RN.RN.61262567.MSL
Registered Nurse
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590
KEYANA NICHOLSON
Licensed Practical Nurse
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590
LUKE MARTIN BRYANT
Counselor (Mental Health)
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590
GLORIA CHUNN BA
Specialist/Technologist, Health Information
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590
LEE C LOVELL
Counselor (Mental Health)
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590
SAMANTHA PATERSON
Counselor (Mental Health)
3436 MARY ELDER RD NE
OLYMPIA, WA 98506
Thurston County (360) 528-2590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Berge's NPI number?

The NPI number for Jackie Berge is 1124632518. It was assigned to this individual provider in the NPPES registry on September 2, 2020.

Where is Jackie Berge located?

Jackie Berge practices at 3436 Mary Elder Rd NE, Olympia, WA 98506. The listed phone number is (360) 528-2590.

What is Jackie Berge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jackie Berge was last updated on September 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.