MR. JEREMIAH BERGEN LCPC
NPI 1750611596
Counselor - Mental Health in Chicago, IL

Q: What is Jeremiah Bergen's NPI number?

The NPI number for Jeremiah Bergen is 1750611596. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Q: What is Jeremiah Bergen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jeremiah Bergen was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 29, 2009

4525 N RAVENSWOOD AVE STE 202, CHICAGO, IL 60640(312) 870-0500 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Jeremiah Bergen Lcpc NPPES

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

MR. JEREMIAH BERGEN LCPC (NPI 1750611596) is an individual mental health provider in Chicago, Illinois, licensed in Illinois (180.007358) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1750611596

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JEREMIAH BERGENCredential: LCPC

Location Address4525 N RAVENSWOOD AVE STE 202Chicago, IL 60640-8038

Mailing Address4525 N Ravenswood Ave Ste 202Chicago, IL 60640-8038 · (312) 870-0500

Phone(312) 870-0500

Sole ProprietorNo

Enumeration DateDecember 29, 2009

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1750611596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in IL · 180.007358

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180007358 (IL)

4525 N RAVENSWOOD AVE STE 202, Chicago, IL 60640

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Other Providers at the Same Location NPPES

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

BERGEN PSYCHOLOGICAL SERVICES, INC.

Counselor (Mental Health)

4525 N RAVENSWOOD AVE STE 202
CHICAGO, IL 60640

Cook County (312) 870-0500

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 Jeremiah Bergen's NPI number?

The NPI number for Jeremiah Bergen is 1750611596. It was assigned to this individual provider in the NPPES registry on December 29, 2009.

Where is Jeremiah Bergen located?

Jeremiah Bergen practices at 4525 N Ravenswood Ave Ste 202, Chicago, IL 60640. The listed phone number is (312) 870-0500.

What is Jeremiah Bergen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jeremiah Bergen was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.