TED PATRICK BERGERON (NPI# 1538213426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538213426 |
| Entity Type | Individual |
| Full Name | TED PATRICK BERGERON |
| Practice Address |
106 Moss Ln Houma LA 70360-4080 |
| Mailing Address |
303 Wellington Dr Houma LA 70360-7116 |
| Practice Telephone | 9858573615 |
| Mailing Telephone | 9858763060 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
106 MOSS LN |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-4080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417001355 | Josephine M Lagarde-sweeney | Registered Nurse | 106 Moss Ln, Houma, LA 70360-4080 | 2007-01-22 |
| 1982899787 | Lois T Theriot | Counselor | 106 Moss Ln, Houma, LA 70360-4080 | 2007-09-14 |
| 1316153349 | Judy A Brunet | Counselor | 106 Moss Ln, Houma, LA 70360-4080 | 2007-05-15 |
| 1891837746 | Daisy Gray | Counselor | 106 Moss Ln, Houma, LA 70360-4080 | 2007-02-13 |
| 1972658748 | Dominique Kay Douglas | Counselor | 106 Moss Ln, Houma, LA 70360-4080 | 2007-01-24 |
| 1093868978 | Sharyn Dianne Robert | Social Worker | 106 Moss Ln, Houma, LA 70360-4080 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340042 | Adam Joseph Johnson | Counselor | 120 Saxony Dr, Houma, LA 70364-2871 | 2020-06-16 |
| 1558865527 | Tabitha Kate Guidry-turner | Counselor | 309 Goode St Ste 2c, Houma, LA 70360-4586 | 2018-03-22 |
| 1003315755 | Krystal Harris | Counselor | 427 W Tunnel Blvd, Houma, LA 70360-5591 | 2018-02-08 |
| 1225542145 | Wanda Marie Washington | Counselor | 120 Progressive Blvd Ste 120, Houma, LA 70360-4083 | 2017-11-30 |
| 1871003749 | Angelina Sabrina Ann Coleman | Counselor | 221 Mckinley St, Houma, LA 70364-3021 | 2017-10-05 |
| 1780102202 | Cassie Hunter | Counselor | 106 Moss Ln Ste 104, Houma, LA 70360-4080 | 2017-09-05 |
| 1316465164 | Claude Leo Austin Jr. | Counselor | 106 Moss Ln Ste 3, Houma, LA 70360-4082 | 2017-08-31 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1649704321 | Danielle Shroff | Counselor | 1805 Harvest Dr, Houma, LA 70360-6075 | 2017-04-19 |
| 1952852675 | Kristopher Pugh | Counselor | 125 Blue Bayou Trailer Ct, Houma, LA 70364-1081 | 2016-10-18 |
| Find all providers in HOUMA | ||||
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| 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.