JODIE BERGQUIST MA LPC LCDC NPI 1144679697

NPI Information

NPI: 1144679697
Provider Name: JODIE BERGQUIST, MA, LPC, LCDC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5347 E 5TH ST
KATY, TX
ZIP 77493
Phone: (832) 781-2153
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Jodie Bergquist, MA, LPC, LCDC is a professional counselor in Katy, TX. Jodie Bergquist, MA, LPC, LCDC NPI is 1144679697. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5347 E 5TH ST
KATY, TX
ZIP 77493-053
Phone: (832) 781-2153

The enumeration date for this NPI number is 6/6/2016 and was last updated on 4/24/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	12785	TEXAS	No
2	101YP2500X	Counselor	Professional	71819	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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