Charles Warren Bergeson, LAC
NPI 1174963318ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Fargo, ND
Counselor, Addiction (Substance Use Disorder) (LAC) in Fargo, North Dakota, with an NPI issued in July 2013.
Overview
| NPI | 1174963318 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAC |
| Sole proprietor | No |
| NPI issued | Jul 2, 2013 |
| Last updated in NPPES | Aug 26, 2020 |
| Certified by provider | Aug 26, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
| Case Manager/Care Coordinator | 171M00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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