Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin M. Bergstrom, LCPC

Individual provider Professional Counselor · NPI 1457863748

Kevin M. Bergstrom, LCPC is a Professional Counselor in Fulton, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2017
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

12350 Hall Shop Rd
Fulton, MD 20759-9774
Phone: (800) 491-5369
Fax: (301) 774-3678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LC7780 (MD)

Record details

NPI number1457863748
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedOctober 26, 2017
Last updated in NPPESOctober 26, 2017

Other providers in Fulton