KEVIN JAY BERGSTROM
NPI 1760134910
Counselor - Mental Health in North Platte, NE

Q: What is Kevin Bergstrom's NPI number?

The NPI number for Kevin Bergstrom is 1760134910. It was assigned to this individual provider in the NPPES registry on January 19, 2022.

Q: What is Kevin Bergstrom'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 Kevin Bergstrom was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 January 19, 2022

1221 W 17TH ST, NORTH PLATTE, NE 69101(308) 380-9196 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kevin Jay Bergstrom NPPES

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

KEVIN JAY BERGSTROM (NPI 1760134910) is an individual mental health provider in North Platte, Nebraska, licensed in Nebraska (12870) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1760134910

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameKEVIN JAY BERGSTROM

Location Address1221 W 17TH STNorth Platte, NE 69101-2216

Mailing Address6459 S Homestead RdNorth Platte, NE 69101-6979 · (308) 380-9196

Phone(308) 380-9196

Sole ProprietorYes

Enumeration DateJanuary 19, 2022

NPPES CertifiedJanuary 19, 2022

✔ NPI 1760134910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NE · 12870

1221 W 17TH ST, North Platte, NE 69101

Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

DAWN ELIZABETH SCHMITT M.S., CCC-SLP/A

Speech-Language Pathologist

1221 W 17TH ST
NORTH PLATTE, NE 69101

Lincoln County (308) 534-2416

EMILY FABER MS, CCC-SLP

Speech-Language Pathologist

1221 W 17TH ST
NORTH PLATTE, NE 69101

Lincoln County (308) 534-2416

MOLLY ANNE WALZ M.S., CCC-SLP

Speech-Language Pathologist

1221 W 17TH ST
NORTH PLATTE, NE 69101

Lincoln County (308) 534-2416

DANICA SOWLE

Speech-Language Pathologist

1221 W 17TH ST
NORTH PLATTE, NE 69101

Lincoln County (308) 534-2416

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 Bergstrom's NPI number?

The NPI number for Kevin Bergstrom is 1760134910. It was assigned to this individual provider in the NPPES registry on January 19, 2022.

Where is Kevin Bergstrom located?

Kevin Bergstrom practices at 1221 W 17th St, North Platte, NE 69101. The listed phone number is (308) 380-9196.

What is Kevin Bergstrom'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 Kevin Bergstrom was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.