Active NPIIndividual providerSole proprietor

Mr. Rosimery D Bergeron, LPC, CRC, MS

Counselor, Mental Health in Bend, Oregon

NPI Number1255778700
Practice location
750 NW Charbonneau Dr., Suite 211, Bend, OR 97703
Fax
888-506-5070
Last updated
October 4, 2018

Rosimery Da Silva Lopes Bergeron is a Counselor, Mental Health based in Bend, OR. Rosimery Da Silva Lopes Bergeron practices in Bend, OR and has the professional credentials of LPC, CRC, MS. The NPI Number for Rosimery Da Silva Lopes Bergeron is 1255778700 and holds a License No. C3130 (OR). The current practice location address for Rosimery Da Silva Lopes Bergeron is 750 NW Charbonneau Dr., Suite 211, Bend, OR 97703 and can be reached out via phone at 503-917-1239 and via fax at 888-506-5070.

Provider Profile Details

NPI Number
1255778700
Provider Name
Rosimery Da Silva Lopes Bergeron
Credential
LPC, CRC, MS
Provider Entity Type
Individual
Gender
Female
Address
750 NW Charbonneau Dr., Suite 211, Bend, OR 97703
Phone Number
503-917-1239
Fax Number
888-506-5070
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 23, 2013
Last Update Date
October 4, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
750 NW Charbonneau Dr.
Suite 211
Bend, OR 97703
City
Bend
State
Oregon
Zip
97703
Phone Number
503-917-1239
Fax Number
888-506-5070
Bend, OR 97703Get directions →

Provider Business Mailing Address Details

Address
Po Box 716
Camp Sherman, OR 97730-0716
City
Camp Sherman
State
OR
Zip
97730-0716
Phone Number
503-917-1239
Fax Number
888-506-5070

License Information

License Number
C3130
License State
OR
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Rosimery D Bergeron, LPC, CRC, MS?

The NPI number of Mr. Rosimery D Bergeron, LPC, CRC, MS is 1255778700. It was assigned on May 23, 2013 and is currently active in the NPPES registry.

What is the specialty of Mr. Rosimery D Bergeron, LPC, CRC, MS?

Mr. Rosimery D Bergeron, LPC, CRC, MS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OR under license number C3130.

Where does Mr. Rosimery D Bergeron, LPC, CRC, MS practice?

The practice location is 750 NW Charbonneau Dr., Suite 211, Bend, OR 97703. The office can be reached at 503-917-1239 (phone) or 888-506-5070 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255778700 directly on the NPPES registry website.

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