Frederick Douglas Bergh I, LPC, LAT

Professional Counselor · Casper, WY

Individual Active NPI

NPI number 1568940211

Practice location

701 Antler Dr Ste 213
Casper, WY 82601-1726
Phone
(720) 484-1961

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NPI record

NPI
1568940211
Entity type
Individual (Type 1)
Enumeration date
August 3, 2018
Last updated
August 7, 2024
Certified
August 7, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Professional Counselor Primary 101YP2500X LPC-2038 WY
Addiction (Substance Use Disorder) Counselor 101YA0400X LAT-404 WY
Mental Health Counselor 101YM0800X LPC-2038 WY

About Frederick Bergh

Frederick Douglas Bergh I, LPC, LAT is a healthcare provider registered in the NPI registry with the primary taxonomy Professional Counselor (code 101YP2500X). The practice location is 701 Antler Dr Ste 213, Casper, WY 82601-1726. The NPI number 1568940211 was assigned on August 3, 2018 and the record was last updated on August 7, 2024.

Frederick Bergh lists 3 licenses in the registry: #LPC-2038 (WY) for Professional Counselor; #LAT-404 (WY) for Addiction (Substance Use Disorder) Counselor; #LPC-2038 (WY) for Mental Health Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Frederick Douglas Bergh I, LPC, LAT?

The NPI number is 1568940211.

What is the phone number of Frederick Bergh?

The phone number listed for the practice location is (720) 484-1961.

Where is Frederick Bergh located?

701 Antler Dr Ste 213, Casper, WY 82601-1726.

What is the taxonomy code for Frederick Bergh?

The primary taxonomy code is 101YP2500X – Professional Counselor; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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