IndividualActive
Elizabeth Bergman
NPI 1659879849 · Professional Counselor · Genoa, OH
Provider details
- NPI number
- 1659879849
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- C.1800896 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 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
3 documented practice locations
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
635 Main St
Genoa, OH 43430-1635
Phone: (419) 461-1983
Fax: (419) 461-3516
Street-level locationGet directions
Mailing address
217 E 11th St
Genoa, OH 43430-1411
Additional practice locations (2)
- 217 E 11th StGenoa, OH 43430-1411Phone: (419) 461-1983Fax: (419) 461-3516
- 1070 Commerce Dr Ste 101Perrysburg, OH 43551-5231Phone: (419) 461-1983
Registry dates
- Enumerated
- 2018-01-23
- Last updated
- 2021-08-03
- Certified
- 2021-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.