1. Home
  2. Directory
  3. North Dakota
  4. Fargo
  5. Counselor
  6. NPI Profile

CHARLES WARREN BERGESON LAC
NPI 1174963318
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since July 02, 2013
2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 26, 2020, Aug 7, 2017 (2 updates tracked since 2017).

About Charles Warren Bergeson Lac NPPES

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

CHARLES WARREN BERGESON LAC (NPI 1174963318) is an individual addiction (substance use disorder) provider in Fargo, North Dakota and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1174963318
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameCHARLES WARREN BERGESONCredential: LAC
Location Address2624 9TH AVE SFargo, ND 58103-2350
Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400
Phone(701) 298-4500
Fax(701) 298-4400
Sole ProprietorNo
Enumeration DateJuly 2, 2013
Last NPPES UpdateAugust 26, 20202 updates tracked since enumeration
NPPES CertifiedAugust 26, 2020
✔ NPI 1174963318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2624 9TH AVE S, Fargo, ND 58103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

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.

JENNY WEST
Specialist
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
SHAYLA ZASTE TCM
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 595-4861
DETON HART
Counselor (Professional)
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
VALENTINA B ASIEDU MPH, CHES
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4959
MS. SARA L NICOLI M.ED, LAC
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
DALE A CARRIER LPCC
Counselor
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
JENNIFER LEONE MULLEN LSW
Social Worker
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
TRACY DIEDRICH
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500

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 Charles Bergeson's NPI number?

The NPI number for Charles Bergeson is 1174963318. It was assigned to this individual provider in the NPPES registry on July 2, 2013.

Where is Charles Bergeson located?

Charles Bergeson practices at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.

What is Charles Bergeson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Charles Bergeson accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Charles Bergeson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Bergeson was last updated on August 26, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.