MS. SOMMER BERGDALE (M.A.) – Counselor, NPI 1013243591

MS. SOMMER BERGDALE (M.A.) is a healthcare provider. based in Las vegas, Nevada. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.A.. The NPI Number for MS. SOMMER BERGDALE (M.A.) is 1013243591

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MS. SOMMER BERGDALE (M.A.)
NPI
1013243591
Phone
(702) 376-0024
Address
578 REDRUTH DR
Enumeration Date
19 October 2009
Last Update Date
19 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7026084220
Graduation Year
2003 (23 years ago)
PAC ID
6507167517
Group Practice PAC ID
5698076602
Professional Enrollment ID
I20240410001358
Address ID
NV891171600LA6885XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:16State licenses:0Digital endpointsOther names

187 MENTAL HEALTH COUNSELOR in NV

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Provider Addresses for MS. SOMMER BERGDALE (M.A.)

  • 578, Redruth Drive, Clark County, Nevada, 89178, United States

    LAS VEGAS, NV 891781282

    Phone: (702) 376-0024

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240410001358IMental Health CounselorNVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89178)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698076602View full group profile
NameSpecialtyState
Nurse PractitionerNV
-NV
Clinical Social WorkerNV
Clinical Social WorkerNV

Reviews

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Frequently asked questions

Is MS. SOMMER BERGDALE (M.A.) listed with a National Provider Identifier?
Yes — MS. SOMMER BERGDALE (M.A.) has NPI 1013243591 on file in the registry.
Active or inactive — what applies to MS. SOMMER BERGDALE (M.A.)?
You should see MS. SOMMER BERGDALE (M.A.) as active in CMS-hosted NPPES data.
What expertise is attributed to MS. SOMMER BERGDALE (M.A.)?
MS. SOMMER BERGDALE (M.A.)'s specialty line reads Counselor. Clinical services aligned with this taxonomy classification.
Is MS. SOMMER BERGDALE (M.A.) located near Las Vegas?
MS. SOMMER BERGDALE (M.A.) currently maps to Las Vegas, Nevada in this extract.
When was this NPI issued?
Enumeration for MS. SOMMER BERGDALE (M.A.) is noted as October 19, 2009 where the registry provides it.

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