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EMILY DIANE BERGSTROM LPC
NPI 1184254146
Counselor - Mental Health in Boise, ID

Active since January 18, 2020
2365 N 34TH ST, BOISE, ID 83703(208) 473-8205 Get Directions Write a Review

NPPES record last updated: January 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Emily Diane Bergstrom Lpc NPPES

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

EMILY DIANE BERGSTROM LPC (NPI 1184254146) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LPC-6167) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1184254146
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEMILY DIANE BERGSTROMCredential: LPC
Location Address2365 N 34TH STBoise, ID 83703-5523
Mailing Address2365 N 34th StBoise, ID 83703-5523 · (208) 473-8205
Phone(208) 473-8205
Sole ProprietorYes
Enumeration DateJanuary 18, 2020
✔ NPI 1184254146 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 ID · LPC-6167
2365 N 34TH ST, Boise, ID 83703
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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 Emily Bergstrom's NPI number?

The NPI number for Emily Bergstrom is 1184254146. It was assigned to this individual provider in the NPPES registry on January 18, 2020.

Where is Emily Bergstrom located?

Emily Bergstrom practices at 2365 N 34th St, Boise, ID 83703. The listed phone number is (208) 473-8205.

What is Emily Bergstrom'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 Emily Bergstrom was last updated on January 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.