MR. JEREMIAH BERGEN LCPC
NPI 1750611596
Counselor - Mental Health in Chicago, IL
NPI Status: Active since December 29, 2009
Contact Information
4525 N RAVENSWOOD AVE STE 202
CHICAGO, IL
ZIP 60640
Phone: (312) 870-0500
- Individual
- Male
- Counselor
- Mental Health
About JEREMIAH BERGEN
This page provides the complete NPI Profile along with additional information for Jeremiah Bergen, a provider established in Chicago, Illinois with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1750611596 assigned on December 2009. The practitioner's primary taxonomy code is 101YM0800X with license number 180.007358 (IL). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1750611596
- Provider Name
- MR. JEREMIAH BERGEN LCPC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4525 N RAVENSWOOD AVE STE 202 CHICAGO, IL 60640
- Location Phone
- (312) 870-0500
- Mailing Address
- 4525 N RAVENSWOOD AVE STE 202 CHICAGO, IL 60640
- Mailing Phone
- (312) 870-0500
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-29-2009
- Last Update Date
- 04-22-2025
- Code Navigator
A mental health counselor like Jeremiah Bergen provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180.007358
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 180007358 (IL) |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750611596, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750611596, enumerated as an "individual" on December 29, 2009.
The provider is located at 4525 N RAVENSWOOD AVE STE 202 CHICAGO, IL 60640 and the phone number is (312) 870-0500.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
