JODIE BERGQUIST (NPI# 1144679697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144679697 |
| Entity Type | Individual |
| Full Name | JODIE BERGQUIST |
| Credential | MA, LPC, LCDC |
| Practice Address |
26600 Westheimer Parkway Katy TX 77494 |
| Practice Telephone | 8327812153 |
| Mailing Telephone | 8327812153 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2018-07-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
12785 | TX | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
71819 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30111 Canton Farms Court, Brookshire, TX 77423 | 8327812153 |
| Street Address |
26600 WESTHEIMER PARKWAY |
| City | KATY |
| State | TX |
| Zip Code | 77494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649880899 | Julie Dyan Meyers | Speech-Language Pathologist | 4747 Fm 1463 Suite 900, Katy, TX 77494 | 2020-08-03 |
| 1235763426 | Lucy J Pena | Technician | 28106 Sugarside Glen Dr, Katy, TX 77494 | 2020-02-26 |
| 1063042455 | Wonace LLC | Durable Medical Equipment & Medical Supplies | 2717 Commercial Blvd, E200, Katy, TX 77494 | 2020-01-24 |
| 1801431002 | Justin Lee Landers | Specialist/Technologist | 2818 Fair Chase, Katy, TX 77494 | 2019-11-12 |
| 1285276006 | Chrysalis Group LLC | Pharmacy | 1259 Fm 1463 Suite 700, Katy, TX 77494 | 2019-10-14 |
| 1033760400 | Aaron Moniotte | Pharmacist | 23331 Grand Reserve Dr, Katy, TX 77494 | 2019-09-26 |
| 1467001743 | Julie Hankinson | Technician | 4903 Surrey Park Circle, Katy, TX 77494 | 2019-09-09 |
| 1710532148 | Icome2u Nursing Providers Inc | Nurse Practitioner | 26307 Sundown Cove Lane, Katy, TX 77494 | 2019-08-02 |
| 1881252203 | Encompass Health Rehabilitation Hospital of Katy, LLC | Rehabilitation Hospital | 23331 Grand Reserve Drive, Katy, TX 77494 | 2019-05-31 |
| 1407312945 | Cvs Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 322 Cane Island Pkwy, Katy, TX 77494 | 2019-02-20 |
| Find all providers in zip 77494 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245850 | Sondra Whitaker | Counselor | 19827 Billineys Park Dr, Katy, TX 77449-8538 | 2020-11-02 |
| 1730798349 | Yetunde Adetona | Counselor | 9550 Spring Green Blvd Ste 408-102, Katy, TX 77494-3758 | 2020-07-29 |
| 1821606997 | Myea Thomas | Counselor | 21327 Beacon Springs Ln, Katy, TX 77449-5356 | 2020-07-15 |
| 1265060198 | Mariah Rebecca Collier | Counselor | 1517 Avenue C, Katy, TX 77493-1903 | 2020-03-27 |
| 1467087684 | Lahor Behavioral Services, LLC | Counselor | 21702 Ravenpass Ln, Katy, TX 77449-1514 | 2020-03-09 |
| 1912530205 | Brittany Green | Counselor | 21077 Kingsland Blvd Apt 4309, Katy, TX 77450-3261 | 2020-02-15 |
| 1932731445 | Change Needs Change | Counselor | 6043 Barany Ct, Katy, TX 77449-6764 | 2020-02-12 |
| 1093357659 | Brittany Rae Saldivar | Counselor | 633 E Fernhurst Dr, Katy, TX 77450-1588 | 2019-10-15 |
| 1720633134 | Dustin Laich | Counselor | 609 Park Grove Dr Ste B, Katy, TX 77450-6191 | 2019-08-03 |
| 1154980399 | Sheffield Psychotherapy Pllc | Counselor | 23335 S Warmstone Way, Katy, TX 77494-3586 | 2019-06-11 |
| Find all providers in KATY | ||||
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| 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.