KEVIN R BERGERON SUDPT
NPI 1700527280
Counselor - Addiction (Substance Use Disorder) in Milton, WA

Q: What is Kevin Bergeron's NPI number?

The NPI number for Kevin Bergeron is 1700527280. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Q: What is Kevin Bergeron's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Bergeron was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since April 06, 2022

1703 DOUGLAS CT, MILTON, WA 98354(360) 888-7087 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Apr 6, 2022 (2 updates tracked since 2022).

On this page

About Kevin R Bergeron Sudpt NPPES

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

KEVIN R BERGERON SUDPT (NPI 1700527280) is an individual addiction (substance use disorder) provider in Milton, Washington, licensed in Washington (CO61275243) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1700527280

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKEVIN R BERGERONCredential: SUDPT

Location Address1703 DOUGLAS CTMilton, WA 98354-9727

Mailing Address500 Se Washington AveChehalis, WA 98532-3058 · (360) 748-4776

Phone(360) 888-7087

Sole ProprietorNo

Enumeration DateApril 6, 2022

Last NPPES UpdateAugust 13, 20242 updates tracked since enumeration

NPPES CertifiedAugust 13, 2024

✔ NPI 1700527280 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 WA · CO61275243

1703 DOUGLAS CT, Milton, WA 98354

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Other Identifiers 1

Medicaid2077844WA

Other Providers at the Same Location NPPES 3

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

RESURGENCE NORTHWEST LLC

Community/Behavioral Health

1703 DOUGLAS CT
MILTON, WA 98354

Pierce County (360) 888-7087

REMNANT CLEANING LLC

Rehabilitation, Substance Use Disorder Unit

1703 DOUGLAS CT
MILTON, WA 98354

Pierce County (253) 392-5534

REMNANT ARMY NORTHWEST

Community/Behavioral Health

1703 DOUGLAS CT
MILTON, WA 98354

Pierce County (360) 888-7087

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 Kevin Bergeron's NPI number?

The NPI number for Kevin Bergeron is 1700527280. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Kevin Bergeron located?

Kevin Bergeron practices at 1703 Douglas Ct, Milton, WA 98354. The listed phone number is (360) 888-7087.

What is Kevin 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 Kevin Bergeron was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.