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CLANCY BERGOLD
NPI 1396058467
Counselor - Mental Health in Eugene, OR

Active since July 19, 2010
5350 DONALD ST, EUGENE, OR 97405(541) 505-8558(541) 505-8558 Get Directions Write a Review

NPPES record last updated: September 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clancy Bergold NPPES

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

CLANCY BERGOLD (NPI 1396058467) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1396058467
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCLANCY BERGOLD
Location Address5350 DONALD STEugene, OR 97405-3529
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(541) 505-8558
Fax(541) 505-8558
Sole ProprietorNo
Enumeration DateJuly 19, 2010
Last NPPES UpdateSeptember 12, 2018
✔ NPI 1396058467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5350 DONALD ST, Eugene, OR 97405
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Other Providers at the Same Location NPPES 5

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

SHELBY L OBERG
Counselor (Mental Health)
5350 DONALD ST
EUGENE, OR 97405
Lane County (541) 505-8558
KOKOUVI MP ONI
Counselor (Mental Health)
5350 DONALD ST
EUGENE, OR 97405
Lane County (541) 505-8558
LARISSA N WILLIAMS
Counselor (Mental Health)
5350 DONALD ST
EUGENE, OR 97405
Lane County (541) 505-8558
AMANDA HL HINDS
Counselor (Mental Health)
5350 DONALD ST
EUGENE, OR 97405
Lane County (541) 505-8558
CONSTANCE A STEWART
Counselor (Mental Health)
5350 DONALD ST
EUGENE, OR 97405
Lane County (541) 505-8558

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 Clancy Bergold's NPI number?

The NPI number for Clancy Bergold is 1396058467. It was assigned to this individual provider in the NPPES registry on July 19, 2010.

Where is Clancy Bergold located?

Clancy Bergold practices at 5350 Donald St, Eugene, OR 97405. The listed phone number is (541) 505-8558.

What is Clancy Bergold'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 Clancy Bergold was last updated on September 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.