Individual provider · Type 1 NPI

Jacob Bergstrom, LPCC

Professional Counselor · Denver, CO

NPI number 1255217998 Active

Practice location

55 Madison St Ste 240
Denver, CO 80206-5451

Mailing address

1234 N Clarkson St Apt 303
Denver, CO 80218-1853

Other practice locations

  • 295 Interlocken Blvd Ste 400, Broomfield, CO 80021-8105 · (720) 853-1114

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XACA.0008282 (CO)
Mental Health Counselor 101YM0800XLPCC.0023748 (CO)
Professional Counselor Primary 101YP2500XLPCC.0023748 (CO)

Professional Counselor: Definition to come...

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About NPI 1255217998

Jacob Bergstrom, LPCC's National Provider Identifier is 1255217998, issued on Aug 15, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Denver, CO. The record was last updated on Aug 28, 2025.