Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396263588 Individual Practitioner Male Practitioner

Michael Thomas Bergquist , LPC

Counselor - Professional • Grayson, GA

Professional Overview & Biography Verified Profile Summary

Michael Bergquist, LPC is a registered healthcare professional specializing in Counselor - Professional in Grayson, GA. Practice services are available at 1637 ATHENS HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1637 Athens Hwy

Grayson, GA 300171768

Telephone 6783448268
Fax 8886276444
Associated Practice Facility / Clinic
🏢 Life Healing Center Pc Facility NPI 1104149160

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Grayson, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Grayson, GA (6655 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA LPC008976

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Keri Holland , LPC

Counselor - Professional

NPI 1124851332

Licensed Professional Counselor

Chantae Bryant , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1164063814

Psychiatric-Mental Health Nurse Practitioner

Ester Pulliam , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1184978785

Psychiatric-Mental Health Nurse Practitioner

Porsha Kimbrough , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1356113252

Psychiatric-Mental Health Nurse Practitioner

Delia Williams , LPC

Counselor - Professional

NPI 1457802373

Licensed Professional Counselor

Corwin Demattos

Nurse Practitioner - Family

NPI 1720617756

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2017

Registered at 1637 ATHENS HWY, GRAYSON, GA 300171768 (Tel: 6783448268)

📍
Updated Business Mailing Address September 07, 2017

Registered at 1637 ATHENS HWY, GRAYSON, GA 300171768 (Tel: 6783448268)

👤
Provider Name / Credentials Updated September 07, 2017

Recorded as MICHAEL BERGQUIST, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Counselor (License #LPC008976 in GA)

🟢
Initial NPI Registration & Enumeration September 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396263588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2017
Last Update: September 07, 2017
Sole Proprietor: No

Mailing Address

1637 Athens Hwy

Grayson, GA 300171768

Phone: 6783448268

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.