Individual provider · Type 1 NPI
Jodie Bergquist, DPC, LPC-S, LCDC
Professional Counselor · Katy, TX
NPI number
1144679697
Active
Practice location
26717 Westheimer Pkwy Ste 1002
Katy, TX 77494-8136
Fax (855) 707-6097
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12785 (TX) |
| Professional Counselor Primary | 101YP2500X | 71819 (TX) |
| Professional Counselor | 101YP2500X | 5351 (TN) |
Professional Counselor: Definition to come...
Another provider at this address
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About NPI 1144679697
Jodie Bergquist, DPC, LPC-S, LCDC's National Provider Identifier is 1144679697, issued on Jun 6, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Katy, TX. The record was last updated on Jul 30, 2026.