ANGELA BERGERON MS - NPI 1699319715 - Counselor in Paxton, IL

Q: What is Angela Bergeron's NPI number?

The NPI number for Angela Bergeron is 1699319715. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Q: What is Angela Bergeron's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Angela Bergeron was last updated on July 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Angela Bergeron Ms NPPES

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

ANGELA BERGERON MS (NPI 1699319715) is an individual counselor in Paxton, Illinois and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1699319715

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameANGELA BERGERONCredential: MS

Location Address1510 W OTTAWA RDPaxton, IL 60957-4090

Mailing AddressPo Box 162Paxton, IL 60957-0162 · (217) 379-4302 · Fax (217) 817-0379

Phone(217) 379-4302

Fax(217) 817-0379

Sole ProprietorNo

Enumeration DateOctober 31, 2019

Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration

NPPES CertifiedJuly 12, 2021

✔ NPI 1699319715 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.

1510 W OTTAWA RD, Paxton, IL 60957

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