Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY BERGSTROM, LPC
Deactivated Sole ProprietorAMY BERGSTROM, LPC is a Professional Counselor healthcare provider located in WAYNE, Pennsylvania. NPI 1831602218 is deactivated in the NPPES registry. Verify at CMS.
Professional Counselor · WAYNE, PA
This NPI has been deactivated.
The record was deactivated on November 8, 2017.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1831602218
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 8, 2017
- Last Updated
- Oct 31, 2023
- Deactivated
- Nov 8, 2017
- Licenses
-
LC9490 (MD)PC012237 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 N WAYNE AVE APT 5WAYNE, PA, 190873239Browse PA providers · Browse ZIP 19087
- Phone
- 8155752014
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in WAYNE, PA
| Name | Credential | NPI |
|---|---|---|
| BONNIE MARSHALL | MA | 1275635062 |
| DR. CHERYL DENISE SPARKS | PHD, LPC | 1104043397 |
| MS. LORI A LORRAINE | MA | 1770783110 |
| JENNIFER LUBAS | MS, NCC | 1942529656 |
| MS. MARLA J. JONES | LPC, LBSC, BC-TMH | 1619255221 |
| CATHERINE BATEMAN | M.A | 1689946659 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.