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THE THERAPY ROOM MIND HEALTH AND WELLNESS LLC
NPI 1073120432
Counselor - Mental Health in Panama City, FL

Active since September 29, 2020
2581 HUNTCLIFF LN, PANAMA CITY, FL 32405(850) 520-3321(850) 848-6490 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 2, 2025, May 14, 2025, Nov 7, 2022 and 3 more (6 updates tracked since 2020).

About The Therapy Room Mind Health And Wellness Llc NPPES

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

THE THERAPY ROOM MIND HEALTH AND WELLNESS LLC (NPI 1073120432) is a healthcare organization registered as a mental health in Panama City, Florida and active in the NPI registry since September 2020. The organization maintains 2 additional practice locations and lists Katie C Bergman, Owner, Provider, as its authorized official.

NPPES Registry Identity

NPI1073120432
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameTHE THERAPY ROOM MIND HEALTH AND WELLNESS LLC
Location Address2581 HUNTCLIFF LNPanama City, FL 32405-4902
Mailing Address2581 Huntcliff LnPanama City, FL 32405-4902 · (850) 520-3321 · Fax (850) 848-6490
Phone(850) 520-3321
Fax(850) 848-6490
Organization SubpartNo
Authorized OfficialKatie C BergmanOwner, Provider · (352) 362-6141
Enumeration DateSeptember 29, 2020
Last NPPES UpdateSeptember 2, 20256 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1073120432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2581 HUNTCLIFF LN, Panama City, FL 32405
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Other Names 1

Doing Business AsThe Therapy Room Mind Health And Wellness Llc

Secondary Practice Locations 2

Location 12555 Huntcliff LnPanama City, FL 32405-4902 · Phone (850) 520-3321 · Fax (850) 848-6490
Location 22388 State AvePanama City, FL 32405 · Phone (850) 520-3321 · Fax (850) 848-6490

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Therapy Room Mind Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Therapy Room Mind Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Katie Bergman, LMHC, MC
Mental Health Counselor
NPI 1245635788
2581 HUNTCLIFF LN
Panama City, FL 32405
(850) 520-3321
✔ PECOS✔ Accepts MedicareSame address
Erin Bruner, LCSW
Clinical Social Worker
NPI 1043752298
2581 HUNTCLIFF LN
Panama City, FL 32405
(850) 520-3321
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 The Therapy Room Mind Health And Wellness LLC's NPI number?

The NPI number for The Therapy Room Mind Health And Wellness LLC is 1073120432. It was assigned to this organization in the NPPES registry on September 29, 2020.

Where is The Therapy Room Mind Health And Wellness LLC located?

The Therapy Room Mind Health And Wellness LLC is located at 2581 Huntcliff Ln, Panama City, FL 32405. The listed phone number is (850) 520-3321.

What is The Therapy Room Mind Health And Wellness LLC's specialty?

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

Is The Therapy Room Mind Health And Wellness LLC enrolled in Medicare?

Yes. The Therapy Room Mind Health And Wellness LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Therapy Room Mind Health And Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to The Therapy Room Mind Health And Wellness LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does The Therapy Room Mind Health And Wellness LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list The Therapy Room Mind Health And Wellness LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for The Therapy Room Mind Health And Wellness LLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.