JULIE BERGAN COUNSELING LLC (NPI# 1215458138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215458138 |
| Entity Type | Organization |
| Organization Name | JULIE BERGAN COUNSELING LLC |
| Practice Address |
313 S 3rd St Goshen IN 46526-3709 |
| Mailing Address |
412 Auditorium Blvd Winona Lake IN 46590-1064 |
| Practice Telephone | 5745350880 |
| Mailing Telephone | 5742695829 |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2019-10-09 |
| Authorized Official Name | MRS. JULIE ELIZABETH BERGAN (CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 5742695829 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
34007808A | IN | Ambulatory Health Care Facilities |
| Street Address |
313 S 3RD ST |
| City | GOSHEN |
| State | IN |
| Zip Code | 46526-3709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992741649 | Holly D Yoder | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2006-06-21 |
| 1154827129 | Kevin Moore Counseling, LLC | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2018-03-30 |
| 1659876126 | Good-elliott Counseling, LLC | Clinic/Center | 313 S 3rd St, Goshen, IN 46526-3709 | 2018-03-27 |
| 1346784006 | Julie Bergan | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2016-12-14 |
| 1992102016 | Anne Thiel | Naturopath | 313 S 3rd St, Fl 2, Goshen, IN 46526-3709 | 2014-12-04 |
| 1841310471 | Stefanie G Wade | Psychologist | 313 S 3rd St, Goshen, IN 46526-3709 | 2007-03-29 |
| 1154452910 | Kevin Moore | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2007-03-07 |
| 1033126446 | Philip David Good-elliott | Social Worker | 313 S 3rd St, Goshen, IN 46526-3709 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631344 | Heidi Kauffmann | Social Worker | 2606 Peddler's Village Rd. Suite 210, Goshen, IN 46526 | 2017-10-27 |
| 1952812034 | Blue Diamond Villas | Skilled Nursing Facility | 1510 Sandpiper Lane, Goshen, IN 46526 | 2017-10-17 |
| 1578086534 | Anthony Escotto | Physical Therapist | 223 North Chicago Avenue, Goshen, IN 46526 | 2017-07-21 |
| 1831544774 | April Noelle Hart | Registered Nurse | 2606 Peddlers Village Rd., Suite 215, Goshen, IN 46526 | 2016-04-28 |
| 1639530108 | Amanda Miller | Physical Therapy Assistant | 114 Watertower Court, Goshen, IN 46526 | 2016-03-11 |
| 1720486095 | Gloria White | Pharmacist | 4430 Elkhart Road, C/o Walgreens, Goshen, IN 46526 | 2014-12-18 |
| 1184982472 | Dianna Christine Hoover | Occupational Therapist | 1627 Autumn Blaze Lane, Goshen, IN 46526 | 2012-04-24 |
| 1629361357 | Amy Rebecca Pointon | Nurse Practitioner | 1615 Winsted Dr Ste 1, Goshen, IN 46526 | 2011-05-27 |
| 1659670685 | Michiana Eye Center LLC | Optometrist | 1747 Stafford Ct, Goshen, IN 46526 | 2011-03-16 |
| 1467759001 | Natasha Candace Pontius | Occupational Therapy Assistant | 2400 College Aveune, Goshen, IN 46526 | 2011-02-17 |
| Find all providers in zip 46526 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336324409 | County of Orange | Clinic/Center | 30 Harriman Dr, Goshen, NY 10924-2410 | 2008-01-08 |
| 1881602852 | Valley Behavioral Medicine, PC | Clinic/Center | 3 Hatfield Lane, Suite 1, Goshen, NY 10924-6732 | 2006-08-04 |
| 1750903498 | 2 Sparrows Counseling | Clinic/Center | 909 Linway Dr Ste 5, Goshen, IN 46526-2435 | 2020-05-16 |
| 1841377918 | Oaklawn Psychiatric Center, Inc. | Clinic/Center | 330 Lakeview Dr, Goshen, IN 46528-9365 | 2006-11-01 |
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| 1114553948 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 720 N Marr Rd Ste A, Columbus, IN 47201-6660 | 2020-03-12 |
| 1376174904 | Karen Brosius LLC | Clinic/Center | 901 S Rogers St Ste 201, Bloomington, IN 47403-4760 | 2020-02-02 |
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| Find all providers with the same taxonomy | ||||
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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.