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Frederick Douglas Bergh , LPC, LAT

Counselor - Professional β€’ Casper, WY

Active NPI 1568940211 Individual Practitioner Male Practitioner
Practice location in NPPES

701 Antler Dr Ste 213
Casper, WY 826011726

Call 7204841961 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

701 Antler Dr Ste 213

Casper, WY 826011726

Telephone 7204841961

NPI first issued

2018

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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

Compared with the same specialty in Casper and Wyoming

99 active clinicians are listed under Counselor - Professional with a practice address in Casper, WY (596 in Wyoming).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Casper

5.1% of these 99 clinicians have the CMS telehealth indicator.

22.2% of these 99 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: 2024-08-07
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WY LPC-2038
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES WY LAT-404
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WY LPC-2038
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: Wyoming State Medical Licensing Board.
Look Up on State Board Site

Career & Practice History Timeline

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

13 Historical Events
πŸ“
Updated Practice Location May 31, 2024

Registered at 701 ANTLER DR STE 213, CASPER, WY 826011726 (Tel: 7204841961)

πŸ“
Updated Business Mailing Address May 31, 2024

Registered at 701 ANTLER DR STE 213, CASPER, WY 826011726 (Tel: 7204841961)

πŸ‘€
Provider Name / Credentials Updated May 31, 2024

Recorded as FREDERICK BERGH, LPC, LAT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2024

Counselor (license number reported to NPPES: WY LAT-404)

πŸ‘€
Provider Name / Credentials Updated February 18, 2020

Recorded as FREDERICK BERGH, PPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2020

Counselor (license number reported to NPPES: WY PAT-084)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2019

Counselor (license number reported to NPPES: WY CAP-160)

βœ…
NPI Profile Active August 03, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 03, 2018

Registered at 1541 DIAMOND DR, CASPER, WY 826016247 (Tel: 7204841961)

πŸ“
Business Mailing Address (Initial Record) August 03, 2018

Registered at 1541 DIAMOND DR, CASPER, WY 826016247 (Tel: 7204841961)

πŸ‘€
Provider Name / Credentials (Initial Record) August 03, 2018

Recorded as FREDERICK BERGH, CAP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2018

Counselor

🟒
Initial NPI Registration & Enumeration August 03, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1568940211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2018
Last Update: August 07, 2024
Sole Proprietor: No

Other Counselor - Professionals in Casper

Healthcare providers in Casper

Mailing Address

701 Antler Dr Ste 213

Casper, WY 826011726

Phone: 7204841961

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.