IndividualActive
Kevin Bergstrom, LCPC
NPI 1457863748 · Professional Counselor · Fulton, MD
Kevin Bergstrom, LCPC is a Professional Counselor provider in Fulton, MD (NPI 1457863748).
Provider details
- NPI number
- 1457863748
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- LC7780 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12350 Hall Shop Rd
Fulton, MD 20759-9774
Phone: (800) 491-5369
Fax: (301) 774-3678
Street-level locationGet directions
Mailing address
Po Box 339
Ashton, MD 20861-0339
Registry dates
- Enumerated
- 2017-10-26
- Last updated
- 2017-10-26
Frequently asked questions
- What is Kevin Bergstrom's NPI number?
- Kevin Bergstrom's National Provider Identifier (NPI) is 1457863748, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Bergstrom's specialty?
- Kevin Bergstrom is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Kevin Bergstrom located?
- Kevin Bergstrom's practice location on file with NPPES is 12350 Hall Shop Rd, Fulton, MD 20759-9774.
- What is Kevin Bergstrom's phone number?
- The practice phone number listed in the NPPES registry for Kevin Bergstrom is (800) 491-5369.
- Is Kevin Bergstrom's NPI active?
- Yes — Kevin Bergstrom's NPI (1457863748) is active in the NPPES registry as of the last update on 2017-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.