KELLI BERG (NPI# 1447717012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447717012 |
| Entity Type | Individual |
| Full Name | KELLI BERG |
| Credential | LCPC |
| Practice Address |
406 1st Ave S Lewistown MT 59457-3020 |
| Practice Telephone | 4065356545 |
| Mailing Telephone | 4065356545 |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2019-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
BBH-LCPC-LIC-372 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861830978 | Kelli Michelle Berg | Physical Therapist | 101 W Main St, Tishomingo, OK 73460-1724 | 2013-06-11 |
| Street Address |
406 1ST AVE S |
| City | LEWISTOWN |
| State | MT |
| Zip Code | 59457-3020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942450432 | Bighorn Valley Health Center Incorporated | Clinic/Center | 406 1st Ave S, Lewistown, MT 59457-3020 | 2008-09-22 |
| 1184239618 | Patti Jo Hill | Social Worker | 406 1st Ave S, Lewistown, MT 59457-3020 | 2020-09-11 |
| 1225690415 | Rebecca Roche | Nurse Practitioner | 406 1st Ave S, Lewistown, MT 59457-3020 | 2019-07-08 |
| 1558813428 | Courtney Brewer Craft | Registered Nurse | 406 1st Ave S, Lewistown, MT 59457-3020 | 2016-10-26 |
| 1578872909 | Amber Lee Close | Nurse Practitioner | 406 1st Ave S, Lewistown, MT 59457-3020 | 2010-10-04 |
| 1902127756 | Jacob Paul Forke | Family Medicine | 406 1st Ave S, Lewistown, MT 59457-3020 | 2010-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437525136 | Tamera D Klapwyk | Counselor | 212 Wendell, Lewistown, MT 59457 | 2015-08-17 |
| 1093119703 | Jodi Kindzerski | Massage Therapist | 120 Wunderlin Ste 4, Lewiston, MT 59457 | 2014-10-09 |
| 1386798783 | James Ben Scott | Dentist | 418 West Broadway, Lewistown, MT 59457 | 2007-01-22 |
| 1740275288 | Kismet Lwt, LLC | Physical Therapist | 402 Summit Ave, Lewistown, MT 59457 | 2005-09-12 |
| 1073053492 | Andrew Malak | Pharmacist | 117 W Janeaux St, Lewistown, MT 59457 | 2017-03-03 |
| 1144670191 | Paige Nash | Optometrist | 119 E Main St, Lewistown, MT 59457 | 2016-06-20 |
| 1740325612 | James R Kolstad | Dentist | 418 West Broadway, Lewistown, MT 59457 | 2007-02-20 |
| 1275673618 | Steve Marquis Mosby | Dentist | 310 Wendell Avenue, Suite 3, Lewistown, MT 59457 | 2007-02-07 |
| 1306935366 | Robert 'denny' D Irwin | Counselor | 212 Wendell Ave, Lewistown, MT 59457 | 2006-10-11 |
| 1497868814 | Central Montana Medical Facilities, Inc. | Internal Medicine | 408 Wendell Ave, Lewistown, MT 59457 | 2006-08-17 |
| Find all providers in zip 59457 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396100533 | Teresa Marie Majerus | Counselor | 207 W Main St Ste 3, Lewistown, MT 59457-2718 | 2015-12-15 |
| 1437525136 | Tamera D Klapwyk | Counselor | 212 Wendell, Lewistown, MT 59457 | 2015-08-17 |
| 1841621257 | Natasha Ufema | Counselor | 844 E Walnut St, Lewistown, PA 17044-2821 | 2013-12-11 |
| 1376788067 | Pamela Jo Tippey-herrick | Counselor | 16249 E Red Maple Ln, Lewistown, IL 61542-9273 | 2008-12-09 |
| 1861421836 | Jonpaul Joseph Pietraccini | Counselor | 3 W Monument Sq, Suite 206, Lewistown, PA 17044-2188 | 2006-07-02 |
| 1780670653 | Michael H Stuehm | Counselor | 212 Wendell Ave, Lewistown, MT 59457-2297 | 2005-09-26 |
| 1760020275 | Ashley Anne Pecora | Counselor | 21 Geisinger Ln, Lewistown, PA 17044-3400 | 2019-12-16 |
| 1497263735 | Eli Karinen | Counselor | 408 Wendell Ave, Lewistown, MT 59457-2261 | 2018-01-22 |
| 1508245390 | Wellspring Counseling Center | Counselor | 516 W 4th St, Lewistown, PA 17044-2083 | 2015-05-26 |
| 1164809430 | Nicole Renee Frazier | Counselor | 516 W 4th St, Lewistown, PA 17044-2083 | 2015-05-06 |
| Find all providers in LEWISTOWN | ||||
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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.