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Daniel Bergh

Counselor - Professional β€’ Appleton, WI

Active NPI 1487194452 Individual Practitioner Male Practitioner
Practice location in NPPES

320 S. Walnut St.
Appleton, WI 549115918

Call 9208325270 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

320 S. Walnut St.

Appleton, WI 549115918

Telephone 9208325270
Organization at the Same NPPES Address or Phone
County Of Outagamie Facility NPI 1629138995

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2016

Years since graduation

10 years (graduated 2016)

CMS Doctors and Clinicians data list 2016 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

May accept Medicare assignment

CMS data show this clinician may accept Medicare assignment. Clinicians who do not always accept assignment can decide case by case.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Daniel Bergh has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Daniel Bergh as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

193 active clinicians are listed under Counselor - Professional with a practice address in Appleton, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.7% of these 193 clinicians have the CMS telehealth indicator.

18.1% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-03-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 6755
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WI 3113226
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WI 3113-226
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
100064881 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20260112000658

Enrollment State Jurisdiction

WI

PECOS Control ID

0143724427

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Indu Dave , MD

Psychiatry & Neurology - Psychiatry

NPI 1396801148

Doctor of Medicine (M.D.)

Dr. Jagdish Dave , MD

Psychiatry & Neurology - Psychiatry

NPI 1932265782

Doctor of Medicine (M.D.)

NPI 1639673940

Doctor of Psychology (Psy.D.)

Amanda Harris , LCSW

Social Worker - Clinical

NPI 1184145161

Licensed Clinical Social Worker

Dr. Randy Readling , MD

Psychiatry & Neurology - Psychiatry

NPI 1952361610

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location March 17, 2020

Registered at 320 S. WALNUT ST., APPLETON, WI 549115918 (Tel: 9208325270)

πŸ“
Updated Business Mailing Address March 17, 2020

Registered at 320 S. WALNUT ST., APPLETON, WI 549115918 (Tel: 9208325270)

βœ…
NPI Profile Active February 24, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 24, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507008)

πŸ“
Business Mailing Address (Initial Record) February 24, 2017

Registered at 444 N WESTHILL BLVD, APPLETON, WI 549145715 (Tel: 9207507008)

πŸ‘€
Provider Name / Credentials (Initial Record) February 24, 2017

Recorded as DANIEL BERGH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2017

Counselor (license number reported to NPPES: WI 3113226)

🟒
Initial NPI Registration & Enumeration February 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1487194452
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2017
Last Update: March 17, 2020
Sole Proprietor: No

Mailing Address

320 S. Walnut St.

Appleton, WI 549115918

Phone: 9208325270

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.