LESA GAIL BERGMAN (NPI# 1003981713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003981713 |
| Entity Type | Individual |
| Full Name | LESA GAIL BERGMAN |
| Credential | LPC |
| Practice Address |
206 Centre On The Lk Lake St Louis MO 63367-1370 |
| Practice Telephone | 6366992165 |
| Practice Fax Number | 6366251633 |
| Mailing Telephone | 6366992165 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2015-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
2001029221 | MO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONAL BOARD FOR CERT C | 89520 | 01 | |
| MO | 498442706 | 05 |
| Street Address |
206 CENTRE ON THE LK |
| City | LAKE ST LOUIS |
| State | MO |
| Zip Code | 63367-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285151100 | Kelle Renne Parton | Counselor | 206 Centre On The Lk, Lake St Louis, MO 63367-1370 | 2017-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295376697 | Stacy Brown | Counselor | 1216 Flagstone Terrace, Lake St. Louis, MO 63367 | 2019-10-07 |
| 1083172449 | Katie D Schmidt | Nurse Practitioner | 300 Medical Plz Ste 150, Lake St Louis, MO 63367 | 2019-03-05 |
| 1932639739 | Eren Taylor-scaggs | Social Worker | 112 Lake St. Louis Blvd, Lake St. Louis, MO 63367 | 2017-06-14 |
| 1184169203 | Be The Change Counseling Services | Community/Behavioral Health | 206 Centre On The Lake, Lake St. Louis, MO 63367 | 2016-12-28 |
| 1568812535 | Brittanie Weinhaus | Family Medicine | 6261 Ronald Regan Dr Ste #b19, Lake St. Louis, MO 63367 | 2016-06-20 |
| 1821445099 | Matt Beamer | Skilled Nursing Facility | 2885 Technology Drive, Lake St. Louis, MO 63367 | 2016-05-18 |
| 1710349642 | Jennifer Gandolfo | Early Intervention Provider Agency | 710 Abbottsford Ct., Lake St. Louis, MO 63367 | 2016-03-21 |
| 1760862361 | Joaquin Francisco Sumaya | Chiropractor | 11104 Veterans Memorial Pkwy., Lake Saint Louis, MO 63367 | 2015-06-09 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1437415551 | Cherie Jean Coletta | Nurse Practitioner | 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 | 2012-04-03 |
| Find all providers in zip 63367 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013527050 | Emma Griffin | Counselor | 1200 Lake Saint Louis Blvd Ste 232, Lake St Louis, MO 63367-1325 | 2020-08-04 |
| 1447729827 | Victoria S Powell | Counselor | 1000 Lake Saint Louis Blvd Ste 222, Lake St Louis, MO 63367-1388 | 2018-11-15 |
| 1417483520 | Elizabeth Taylor | Counselor | 21 St Malo Ct, Lake St Louis, MO 63367-1912 | 2017-05-10 |
| 1912444910 | Aminah Williams | Counselor | 716 Fernwood Ter, Lake St Louis, MO 63367-1416 | 2017-01-27 |
| 1619214566 | Daniel Scott Terry | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367 | 2013-01-12 |
| 1528346905 | Zachary J Sander | Counselor | 1000 Lake Saint Louis Blvd Ste 260, Lake St Louis, MO 63367-2924 | 2011-08-02 |
| 1780837013 | Margaret Kay Phillips | Counselor | 1000 Lake Saint Louis Blvd Ste 134, Lake St Louis, MO 63367-2923 | 2008-10-30 |
| 1992820104 | Avon Lynn Rousan | Counselor | 1306 Edgewater Pointe, Lake St Louis, MO 63367-2908 | 2007-03-20 |
| 1285705855 | Midwest Counseling Services | Counselor | 1000 Edgewater Point, Suite 304, Lake St Louis, MO 63367 | 2006-11-13 |
| 1508418476 | New Journey Christian Counseling LLC | Counselor | 1000 Edgewater Pt Ste 401, Lake St Louis, MO 63367-2954 | 2019-07-11 |
| Find all providers in LAKE ST LOUIS | ||||
| City | LAKE ST LOUIS |
| Zip Code | 63367 |
Please comment or provide details below to improve the information on LESA GAIL BERGMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.