MS. GABRIELLE BERSHEN LPC
NPI 1265826176
Counselor - Professional in Boulder, CO

Q: What is Gabrielle Bershen's NPI number?

The NPI number for Gabrielle Bershen is 1265826176. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Q: What is Gabrielle Bershen's specialty?

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

Q: Is Gabrielle Bershen enrolled in Medicare?

No. Gabrielle Bershen has opted out of Medicare through April 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gabrielle Bershen was last updated on March 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2015Opted out of Medicare · through Apr 17, 2028

1501 YARMOUTH AVE, BOULDER, CO 80304(720) 217-7651(720) 554-8043 Get Directions Write a Review

NPPES record last updated: March 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Ms. Gabrielle Bershen Lpc NPPES

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

MS. GABRIELLE BERSHEN LPC (NPI 1265826176) is an individual professional provider in Boulder, Colorado, licensed in Colorado (2712) and active in the NPI registry since March 2015. She has opted out of Medicare through April 17, 2028.

NPPES Registry Identity

NPI1265826176

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. GABRIELLE BERSHENCredential: LPC

Location Address1501 YARMOUTH AVEBoulder, CO 80304-0564

Mailing Address1501 Yarmouth AveBoulder, CO 80304-0564 · (720) 217-7651 · Fax (720) 554-8043

Phone(720) 217-7651

Fax(720) 554-8043

Sole ProprietorNo

Enumeration DateMarch 28, 2015

✔ NPI 1265826176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · 2712

1501 YARMOUTH AVE, Boulder, CO 80304

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Gabrielle Bershen Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 17, 2024 through April 17, 2028.

Opt-Out Effective DateApril 17, 2024

Opt-Out In Effect ThroughApril 17, 2028Opt-out affidavits renew automatically every two years unless cancelled

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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.

JEREMY ELLIS

Counselor (Mental Health)