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COURTNEY MARIE BERGIN
NPI 1649811613
Counselor in Vernon, CT

Active since October 01, 2019Opted out of Medicare · through May 1, 2028
1100 HARTFORD TPKE APT 708, VERNON, CT 06066(860) 245-8698 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2026, Oct 1, 2019 (2 updates tracked since 2019).

About Courtney Marie Bergin NPPES

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

COURTNEY MARIE BERGIN (NPI 1649811613) is an individual counselor in Vernon, Connecticut and active in the NPI registry since October 2019. She has opted out of Medicare through May 1, 2028.

NPPES Registry Identity

NPI1649811613
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameCOURTNEY MARIE BERGIN
Location Address1100 HARTFORD TPKE APT 708Vernon, CT 06066-9411
Mailing Address#1025 35 Talcottville Road, Suite 10Vernon, CT 06066 · (860) 245-8698
Phone(860) 245-8698
Sole ProprietorNo
Enumeration DateOctober 1, 2019
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1649811613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1100 HARTFORD TPKE APT 708, Vernon, CT 06066
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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

Courtney Marie Bergin 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 May 1, 2024 through May 1, 2028.

Opt-Out Effective DateMay 1, 2024
Opt-Out In Effect ThroughMay 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

BERGIN COUNSELING AND CONSULTATION, PLLC
Counselor
1100 HARTFORD TPKE APT 708
VERNON, CT 06066
Capitol Planning Region (860) 245-8698

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 Courtney Bergin's NPI number?

The NPI number for Courtney Bergin is 1649811613. It was assigned to this individual provider in the NPPES registry on October 1, 2019.

Where is Courtney Bergin located?

Courtney Bergin practices at 1100 Hartford Tpke Apt 708, Vernon, CT 06066. The listed phone number is (860) 245-8698.

What is Courtney Bergin's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Courtney Bergin enrolled in Medicare?

No. Courtney Bergin has opted out of Medicare through May 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Courtney Bergin was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.