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Active NPI 1780924183 Individual Practitioner Male Practitioner

Brett Bergvall , LPC

Counselor - Professional • Wallis, TX

Professional Overview & Biography Verified Profile Summary

Brett Bergvall, LPC is a registered healthcare professional specializing in Counselor - Professional in Wallis, TX. Practice services are available at 7146 HIGHWAY 60 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7146 Highway 60

Wallis, TX 774859507

Telephone 9792171581
Fax 9792171607
Associated Practice Facility / Clinic
🏢 Added Incentive Facility NPI 1386822542

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Wallis, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Wallis, TX (21203 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 TX 67988

Definition to come...

Practice Associates & Co-Workers

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

3 Associated Practitioners
NPI 1487930251

Licensed Clinical Social Worker

Lindsey Bartay , LPC

Counselor - Professional

NPI 1740823012

Licensed Professional Counselor

Luz Alquicira , LCSW, LCDC, ASOTP

Social Worker - Clinical

NPI 1952838963

Licensed Clinical Social Worker, Licensed Chemical Dependency Counselor, ASOTP

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active August 05, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2015

Registered at 7146 HIGHWAY 60, WALLIS, TX 774859507 (Tel: 9792171581)

📍
Updated Business Mailing Address August 05, 2015

Registered at PO BOX 517, WALLIS, TX 774850517 (Tel: 9794513809)

👤
Provider Name / Credentials Updated August 05, 2015

Recorded as BRETT BERGVALL, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2015

Counselor (License #67988 in TX)

🟢
Initial NPI Registration & Enumeration February 21, 2013

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: 1780924183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2013
Last Update: August 05, 2015
Sole Proprietor: No
Update or Correct Profile

Mailing Address

Po Box 517

Wallis, TX 774850517

Phone: 9794513809

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.