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KATHERINE BERGSTROM MHP
NPI 1013880020
Counselor - Mental Health in Waukegan, IL

Active since September 25, 2025
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8088 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Katherine Bergstrom Mhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE BERGSTROM MHP (NPI 1013880020) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1013880020
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE BERGSTROMCredential: MHP
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3010 Grand AveWaukegan, IL 60085-2321 · (847) 377-8000
Phone(847) 377-8088
Sole ProprietorNo
Enumeration DateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1013880020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3002 GRAND AVE, Waukegan, IL 60085
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAM JOHNSON LCPC
Counselor (Professional)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8261
LAKE COUNTY HEALTH DEPARTMENT
Health Maintenance Organization
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
KAREN SRILL-JAFFE
Registered Nurse (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
REVELL BURTON CADC AAS
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
MELANIE ANNE BOARD B.A.,MHP
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088
DEIRDRE PIERCE
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088
PATRICIA A FAIN R.N.
Registered Nurse (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8200
TIMOTHY BRANDT
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Lake County (847) 377-8088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Bergstrom's NPI number?

The NPI number for Katherine Bergstrom is 1013880020. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Katherine Bergstrom located?

Katherine Bergstrom practices at 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8088.

What is Katherine Bergstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Katherine Bergstrom was last updated on September 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.