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JACOB BERGSTROM LPCC
NPI 1255217998
Counselor - Professional in Denver, CO

Active since August 15, 2025
55 MADISON ST STE 240, DENVER, CO 80206(970) 310-3406 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob Bergstrom Lpcc NPPES

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

JACOB BERGSTROM LPCC (NPI 1255217998) is an individual professional provider in Denver, Colorado, licensed in Colorado (LPCC.0023748) and active in the NPI registry since August 2025. He maintains a secondary practice location in Broomfield.

NPPES Registry Identity

NPI1255217998
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJACOB BERGSTROMCredential: LPCC
Location Address55 MADISON ST STE 240Denver, CO 80206-5451
Mailing Address1234 N Clarkson St Apt 303Denver, CO 80218-1853 · (714) 797-0798
Phone(970) 310-3406
Sole ProprietorNo
Enumeration DateAugust 15, 2025
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 28, 2025
✔ NPI 1255217998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPCC.0023748
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACA.0008282 (CO)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPCC.0023748 (CO)
55 MADISON ST STE 240, Denver, CO 80206
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Secondary Practice Location 1

Location 1295 Interlocken Blvd Ste 400Broomfield, CO 80021-8105 · Phone (720) 853-1114

Other Providers at the Same Location NPPES 14

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

MISS SHANNON JULIA CAHILL MSW
Social Worker (Clinical)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 692-5843
DR. ADARSH A SHETTY MD
Psychiatry & Neurology (Psychiatry)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
HEART CENTERED COUNSELING, PC
Counselor (Mental Health)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
ALEXANDER OTIS KISOR
Social Worker (Clinical)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
ASHA LAINE WELLS MSW LCSW
Social Worker (Clinical)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406
SHAWN GRECO
Counselor (Professional)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (303) 746-2869
AUDREY OURS LPC
Counselor (Professional)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (855) 696-6801
CHRISTINA MARIE SONG LPC
Counselor (Professional)
55 MADISON ST STE 240
DENVER, CO 80206
Denver County (970) 310-3406

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 Jacob Bergstrom's NPI number?

The NPI number for Jacob Bergstrom is 1255217998. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Where is Jacob Bergstrom located?

Jacob Bergstrom practices at 55 Madison St Ste 240, Denver, CO 80206. The listed phone number is (970) 310-3406.

What is Jacob Bergstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jacob Bergstrom was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.