Clancy Bergold
Counselor, Mental Health in Eugene, Oregon
1396058467- Practice location
- 5350 Donald St, Eugene, OR 97405-3529
- Phone
- 541-505-8558
- Fax
- 541-505-8558
- Last updated
- September 12, 2018
Clancy Bergold is a Counselor, Mental Health based in Eugene, OR. The NPI number for Clancy Bergold is 1396058467. The current practice location address is 5350 Donald St, Eugene, OR 97405-3529 and the office can be reached by phone at 541-505-8558 and by fax at 541-505-8558. The NPI was assigned on July 19, 2010 and the record was last updated in NPPES on September 12, 2018.
●Provider Profile Details
- NPI Number
- 1396058467
- Provider Name
- Clancy Bergold
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Enumeration Date
- July 19, 2010
- Last Update Date
- September 12, 2018
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 5350 Donald St
Eugene, OR 97405-3529 - City
- Eugene
- State
- Oregon
- ZIP
- 97405-3529
- Country
- US
- Phone Number
- 541-505-8558
- Fax Number
- 541-505-8558
✉Business Mailing Address
- Address
- 3587 Heathrow Way
Medford, OR 97504-4004 - City
- Medford
- State
- OR
- ZIP
- 97504-4004
- Phone Number
- 541-858-8170
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Counselor, Mental Health | 101YM0800X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Eugene →?Frequently Asked Questions
What is the NPI number of Clancy Bergold?
The NPI number of Clancy Bergold is 1396058467. It was assigned on July 19, 2010 and is currently active in the NPPES registry.
What is the specialty of Clancy Bergold?
Clancy Bergold is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Clancy Bergold practice?
The practice location is 5350 Donald St, Eugene, OR 97405-3529. The office can be reached at 541-505-8558 (phone) or 541-505-8558 (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 1396058467 directly on the NPPES registry website at npiregistry.cms.hhs.gov.