RAE JEAN BERGNER


Address: 1500 N 34th St Ste 200, Superior, WI 54880-4477
Phone: 7153955380

RAE JEAN BERGNER (NPI# 1770716771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770716771
Entity Type Individual
Full Name RAE JEAN BERGNER
Credential CSAC
Practice Address 1500 N 34th St Ste 200
Superior
WI 54880-4477
Mailing Address 3600 Tower Ave
Superior
WI 54880-5589
Practice Telephone 7153955380
Practice Fax Number 7153921935
Mailing Telephone 7153921955
Mailing Fax Number 7153921935
Enumeration Date 2009-08-25
Last Update Date 2018-03-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
16202 WI Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3600 Tower Ave, Superior, WI 548805337 7153921955 7153921935

Office Location

Street Address 1500 N 34TH ST STE 200
City SUPERIOR
State WI
Zip Code 54880-4477

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376158204 Anne L Roeser Social Worker 1500 N 34th St Ste 200, Superior, WI 54880-4477 2020-09-08
1245842046 Tiffany Johnson Case Manager/Care Coordinator 1500 N 34th St Ste 200, Superior, WI 54880-4477 2020-08-21
1124586961 Jacquelyn K. Lindberg Counselor 1500 N 34th St Ste 200, Superior, WI 54880-4477 2019-03-12
1093293326 Kraig Robert Peterson Social Worker 1500 N 34th St Ste 200, Superior, WI 54880-4477 2018-07-30
1639684384 Lake Superior Community Health Center Clinic/Center 1500 N 34th St Ste 200, Superior, WI 54880-4477 2017-12-04
1306366414 Nicholas J Kuvaas Case Manager/Care Coordinator 1500 N 34th St Ste 200, Superior, WI 54880-4477 2017-06-21
1043748833 Natalie Sell Case Manager/Care Coordinator 1500 N 34th St Ste 200, Superior, WI 54880-4477 2017-05-24
1417407586 Jessica Campbell Registered Nurse 1500 N 34th St Ste 200, Superior, WI 54880-4477 2016-10-12
1467902304 Joellyn Steele Marriage & Family Therapist 1500 N 34th St Ste 200, Superior, WI 54880-4477 2016-10-04
1467859637 Paige M Konrad Counselor 1500 N 34th St Ste 200, Superior, WI 54880-4477 2014-12-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104427194 Alana Catherine Sullivan Speech-Language Pathologist 25 N 25th Street E, Superior, WI 54880 2020-11-05
1710524970 Sean Wiberg Peterson Specialist/Technologist 1810 Catlin Ave, Room 1246, Superior, WI 54880 2019-12-06
1558858936 Brent Adam Engstrom Student in an Organized Health Care Education/Training Program 1410 Nth 23rd Street, Superior, WI 54880 2018-04-20
1558769125 David Kroll Specialist Balknap & Catlin Aves., Superior, WI 54880 2014-12-15
1154670321 Superior Treatment Center, Inc Community/Behavioral Health 1507 Tower Ave Ste 307, Superior, WI 54880 2012-09-04
1548551658 Dionne Jeannine Corcoran Midwife 916 Hammond Ave Ste 222, Superior, WI 54880 2011-04-22
1821235433 Lauren Ashley Miller Speech-Language Pathologist 35 N. 28th Street, Superior, WI 54880 2009-01-20
1528261989 Stacy Ann Kennelly Physical Therapist 1612 N 37th Street, Superior, WI 54880 2007-06-06
1760564942 James Henry Dobis Family Medicine 3520 Tower Avenue, Twin Ports Va Outpatient Clinic, Superior, WI 54880 2006-10-19
1134214398 Kevin M Mikel Dentist 3312 Tower Avenue, Superior, WI 54880 2006-10-04
Find all providers in zip 54880

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518580182 Michele Denise Perron Counselor 912 Baxter Ave, Superior, WI 54880-1735 2020-05-18
1265066500 Masc LLC Counselor 491 Shaw Gulch Lane, Superior, MT 59872-0214 2020-02-25
1386160976 Leann Joyce Anderson Counselor 304 4th Ave E, Superior, MT 59872 2017-08-16
1578090049 Barbara Titus Counselor 1810 Belknap St, Superior, WI 54880-2595 2017-05-16
1346636115 Debra Rybos Counselor 2120 John Ave, Superior, WI 54880-4923 2015-04-08
1083036305 Stephanie Quick Counselor 405 Brooklyn St, Superior, MT 59872-9607 2014-01-07
1578823589 Stewart Andrew Mccracken Counselor 491 Shaw Gulch Ln, Superior, MT 59872-0124 2012-05-23
1245558840 Choices, Inc. Counselor 304 4th Ave. E, Superior, MT 59872-0622 2010-05-07
1831371350 Elizabeth B Byler Counselor 1531 Hughitt Ave, Superior, WI 54880-2855 2007-11-27
1457576779 Joseph Walter Knotts Counselor 1926 E 2nd St, Apt. 8, Superior, WI 54880-3578 2007-04-13
Find all providers in SUPERIOR

Competitor

Search similar providers

City SUPERIOR
Zip Code 54880

Improve Information

Please comment or provide details below to improve the information on RAE JEAN BERGNER.

Dataset Information

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.

Trending Searches