TRINITY KYLYN BERGERON LADC
NPI 1639728280
Counselor - Addiction (Substance Use Disorder) in Bemidji, MN

Active since September 06, 2019
403 4TH ST NW STE 300, BEMIDJI, MN 56601(218) 444-5155(218) 333-3921 Get Directions Write a Review

NPPES record last updated: June 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 30, 2021, Sep 6, 2019 (2 updates tracked since 2019).

About Trinity Kylyn Bergeron Ladc NPPES

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

TRINITY KYLYN BERGERON LADC (NPI 1639728280) is an individual addiction (substance use disorder) provider in Bemidji, Minnesota, licensed in Minnesota (305250) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1639728280
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTRINITY KYLYN BERGERONCredential: LADC
Location Address403 4TH ST NW STE 300Bemidji, MN 56601-3196
Mailing Address403 4th St Nw Ste 300Bemidji, MN 56601-3196 · (218) 407-1614
Fax(218) 333-3921
Sole ProprietorNo
Enumeration DateSeptember 6, 2019
Last NPPES UpdateJune 30, 20212 updates tracked since enumeration
NPPES CertifiedJune 30, 2021
NPI 1639728280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 305250
403 4TH ST NW STE 300, Bemidji, MN 56601

Other Names 1

Former Name (1)Trinity Kylyn Ness

Other Providers at the Same Location NPPES 9

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

Counselor (Addiction (Substance Use Disorder))
403 4TH ST NW STE 300
BEMIDJI, MN 56601
Counselor (Addiction (Substance Use Disorder))
403 4TH ST NW STE 300
BEMIDJI, MN 56601
Counselor (Addiction (Substance Use Disorder))
403 4TH ST NW STE 300
BEMIDJI, MN 56601
Counselor (Addiction (Substance Use Disorder))
403 4TH ST NW STE 300
BEMIDJI, MN 56601
Community/Behavioral Health
403 4TH ST NW STE 300
BEMIDJI, MN 56601
Counselor (Addiction (Substance Use Disorder))
403 4TH ST NW STE 300
BEMIDJI, MN 56601
Counselor
403 4TH ST NW STE 300
BEMIDJI, MN 56601
Counselor (Addiction (Substance Use Disorder))
403 4TH ST NW STE 300
BEMIDJI, MN 56601

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 Trinity Bergeron's NPI number?

The NPI number for Trinity Bergeron is 1639728280. It was assigned to this individual provider in the NPPES registry on September 6, 2019. The provider is also known as Trinity Kylyn Ness.

Where is Trinity Bergeron located?

Trinity Bergeron practices at 403 4th St NW Ste 300, Bemidji, MN 56601. The listed phone number is (218) 444-5155.

What is Trinity Bergeron's specialty?

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

When was this NPI record last updated?

The NPPES record for Trinity Bergeron was last updated on June 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.