DEBRA M. BERGMAN (NPI# 1265974166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265974166 |
| Entity Type | Individual |
| Full Name | DEBRA M. BERGMAN |
| Credential | LMFT |
| Practice Address |
78 Merrell Rd Leicester NC 28748-7567 |
| Practice Telephone | 3367085325 |
| Mailing Telephone | 3367085325 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | MFT000743 | GA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 1786 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215167721 | Debra Lynn Bergman | Counselor | 867 N Fair Oaks Ave, Pasadena, CA 91103-3050 | 2009-07-17 |
| 1023225174 | Debra Bergman | Counselor | 625 W Washington Ave, Madison, WI 53703-2637 | 2007-05-17 |
| 1730116518 | Debra C Bergman | Surgery | 12425 Old Meridian St, Suite #b1, Carmel, IN 46032-8724 | 2006-06-27 |
| Street Address |
78 MERRELL RD |
| City | LEICESTER |
| State | NC |
| Zip Code | 28748-7567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659494300 | Evergreen Living #5 | Custodial Care Facility | 352 Family Ridge Road, Leicester, NC 28748 | 2007-04-09 |
| 1346361102 | Evergreen Living #1 | Custodial Care Facility | 101 Country Time Ln, Leicester, NC 28748 | 2007-04-02 |
| 1811018674 | Evergreen Living #6 | Custodial Care Facility | 353 Family Ridge Road, Leicester, NC 28748 | 2007-04-02 |
| 1609997519 | Evergreen Living #4 | Custodial Care Facility | 230 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1053431957 | Evergreen Living #5 | Custodial Care Facility | 231 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1962522862 | Evergreen Living #6 | Custodial Care Facility | 232 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1639290497 | Evergreen Living #7 | Custodial Care Facility | 233 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1548381304 | Evergreen Living #8 | Custodial Care Facility | 234 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1457472219 | Evergreen Living #9 | Custodial Care Facility | 235 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| 1295856052 | Evergreen Living #10 | Custodial Care Facility | 236 Country Time Circle, Leicester, NC 28748 | 2007-04-02 |
| Find all providers in zip 28748 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1942809926 | Anna K Wallace | Marriage & Family Therapist | 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 | 2020-10-21 |
| 1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
| 1043826589 | Lauren Stiegler | Marriage & Family Therapist | 931 Haybeck Ln, Apex, NC 27523-6192 | 2020-09-21 |
| 1588279889 | Deborah Bell | Marriage & Family Therapist | 119 Sw Maynard Rd, Cary, NC 27511-4472 | 2020-09-14 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1467066753 | Geo'quana W Mcdougal | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 | 2020-09-03 |
| 1689286338 | Dina Rose Velazquez | Marriage & Family Therapist | 500 Lemon Pepper Pl, Wendell, NC 27591-8948 | 2020-08-23 |
| 1023631959 | Carolyn Neese | Marriage & Family Therapist | 4102 N Main St, High Point, NC 27265-1132 | 2020-05-27 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| 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.