DANIELLE RAE BERGERON INGRAM LPC, M.S., QDDP
NPI 1669877452
Psychologist - Clinical in Rutland, VT

Q: What is Danielle Bergeron Ingram's NPI number?

The NPI number for Danielle Bergeron Ingram is 1669877452. It was assigned to this individual provider in the NPPES registry on October 23, 2014.

Q: What is Danielle Bergeron Ingram's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Danielle Bergeron Ingram enrolled in Medicare?

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

Active since October 23, 2014Opted out of Medicare · through Mar 1, 2028

78 S MAIN ST, RUTLAND, VT 05701(802) 775-0828 Get Directions Write a Review

NPPES record last updated: December 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2015, Nov 17, 2015 (2 updates tracked since 2015).

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About Danielle Rae Bergeron Ingram Lpc, M.s., Qddp NPPES

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

DANIELLE RAE BERGERON INGRAM LPC, M.S., QDDP (NPI 1669877452) is an individual clinical provider in Rutland, Vermont, licensed in Vermont (047.0111914) and active in the NPI registry since October 2014. She has opted out of Medicare through March 1, 2028.

NPPES Registry Identity

NPI1669877452

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDANIELLE RAE BERGERON INGRAMCredential: LPC, M.S., QDDP

Location Address78 S MAIN STRutland, VT 05701-4591

Mailing Address78 S Main StRutland, VT 05701-4591 · (802) 775-0828

Phone(802) 775-0828

Sole ProprietorYes

Enumeration DateOctober 23, 2014

Last NPPES UpdateDecember 21, 20152 updates tracked since enumeration

✔ NPI 1669877452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VT · 047.0111914

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

78 S MAIN ST, Rutland, VT 05701

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Danielle Rae Bergeron Ingram Lpc, M.s., Qddp 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 March 1, 2024 through March 1, 2028.

Opt-Out Effective DateMarch 1, 2024

Opt-Out In Effect ThroughMarch 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$168.48 typical visit price

range $55.80 – $168.48

Typical copayment $42.12 (range $13.95 – $42.12)

Most-billed visit code 99205

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

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