MRS. KRISTEN MICHELLE BERGO (NPI# 1851807093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851807093 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN MICHELLE BERGO |
| Credential | CATC-1 |
| Practice Address |
660 E Los Angeles Ave Ste B2 Simi Valley CA 93065-1884 |
| Mailing Address |
20134 Leadwell St Unit 253 Winnetka CA 91306-4928 |
| Practice Telephone | 8055221844 |
| Mailing Telephone | 8188020195 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
660 E LOS ANGELES AVE STE B2 |
| City | SIMI VALLEY |
| State | CA |
| Zip Code | 93065-1884 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992861553 | Aegis Treatment Centers, LLC | Clinic/Center | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2006-12-28 |
| 1366052656 | John Charles Laux | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-08-03 |
| 1568081305 | Jacqueline Villasenor | Licensed Vocational Nurse | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-04-12 |
| 1336773233 | Chiemeziem Ikonte | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-02-28 |
| 1942856646 | Gabriela Maria Diaz | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-08-18 |
| 1902452717 | Ashley Stavrinou | Licensed Vocational Nurse | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-08-16 |
| 1831745637 | Hector Alejandro Diaz | Licensed Vocational Nurse | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-08-16 |
| 1932668225 | Heidi Ida Higgins | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-03-15 |
| 1083194864 | Emma Pallone | Marriage & Family Therapist | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2018-08-21 |
| 1811444805 | Jill Zinto | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2016-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312243 | Healing Hands Health Care Corp | Hospice Care, Community Based | 585 E. Los Angeles Ave, Suite H-b, Simi Valley, CA 93065 | 2020-09-29 |
| 1487261731 | Healing Love Health Care Services, Inc. | Hospice Care, Community Based | 585 E. Los Angeles Ave., Suite H - A, Simi Valley, CA 93065 | 2020-09-29 |
| 1528682499 | Nicole G. Nalbandian | Dentist | First Street Dental Group and Orthodontics, 1197 E Los Angeles Ave Ste E, Simi Valley, CA 93065 | 2020-06-05 |
| 1316597230 | K-clear Nursing Inc | Family Medicine | 1822 Springgate Ln Unit G., Simi Valley, CA 93065 | 2019-09-12 |
| 1780242313 | Valencia Medical Inc | Family Medicine | 1526 Patricia Ave, Unit 159, Simi Valley, CA 93065 | 2019-05-29 |
| 1962920553 | Taylor Pediatrics | Pediatrics | 2755 Alamo Street Ste: 201, Simi Valley, CA 93065 | 2017-09-02 |
| 1487181301 | Renee Brooks | Marriage & Family Therapist | Ventura County Behavioral Health, 1227 E. Los Angeles Ave., Simi Valley, CA 93065 | 2017-05-23 |
| 1225577208 | Amanda Blake | Dietitian, Registered | 2592 Victoria St, Simi Valley, CA 93065 | 2017-02-23 |
| 1245778364 | Tyler James Arauza | Behavior Technician | 2856 Thicket Pl., Simi Valley, CA 93065 | 2017-02-09 |
| 1992169007 | Sahar Yaftaly | Dentist | 2045 Royal Ave Ste 109, Simi Valley, CA 93065 | 2016-04-06 |
| Find all providers in zip 93065 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972071488 | Ashley Scalise | Counselor | 660 E Los Angeles Ave Ste B, Simi Valley, CA 93065-1883 | 2018-11-02 |
| 1912211152 | Barbara Francine Boulet | Counselor | 2650 Jones Way Suite #10, Simi Valley, CA 93065 | 2010-07-29 |
| 1922131432 | Brian Charles Clements | Counselor | 3150 E Los Angeles Ave, Simi Valley, CA 93065-3940 | 2007-03-13 |
| 1366052656 | John Charles Laux | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-08-03 |
| 1336773233 | Chiemeziem Ikonte | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2020-02-28 |
| 1942856646 | Gabriela Maria Diaz | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-08-18 |
| 1932668225 | Heidi Ida Higgins | Counselor | 660 E Los Angeles Ave Ste B2, Simi Valley, CA 93065-1884 | 2019-03-15 |
| 1518437623 | Lauren Foreman | Counselor | 3010 E Los Angeles Ave, Simi Valley, CA 93065-3939 | 2018-11-30 |
| 1912419607 | Carole Lee Brookshire | Counselor | 660 E Los Angeles Ave, Simi Valley, CA 93065-1873 | 2017-11-02 |
| 1285177816 | Marie Doettrel | Counselor | 660 E Los Angeles Ave, Simi Valley, CA 93065-1873 | 2016-11-30 |
| Find all providers in SIMI VALLEY | ||||
| City | SIMI VALLEY |
| Zip Code | 93065 |
Please comment or provide details below to improve the information on MRS. KRISTEN MICHELLE BERGO.
| 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.