NPI 1427396555 · live from the CMS NPI Registry
Jessica A Bergmann, LMFT
Marriage & Family Therapist in Waukomis, OK. National Provider Identifier 1427396555, active.
NPI record
| NPI | 1427396555 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 803 S Main St, Waukomis, OK 73773 |
| Practice phone | 505-991-5258 |
| Enumerated | January 24, 2013 |
| Last updated | December 13, 2024 |
| Sole proprietor | No |
| Other names | Jessica Jones |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Marriage & Family Therapist primary | 106H00000X | LMFT01102 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.