MRS. CANDEE LYNN BERGSTROM LCSW
NPI 1083703219
Counselor - Mental Health in Fort Lee, VA

Q: What is Candee Bergstrom's NPI number?

The NPI number for Candee Bergstrom is 1083703219. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Candee Bergstrom's specialty?

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

Q: Is Candee Bergstrom enrolled in Medicare?

No. Candee Bergstrom has opted out of Medicare through September 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Candee Bergstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since October 12, 2006Opted out of Medicare · through Sep 26, 2027

8200 AVE. B, FORT LEE, VA 23801(804) 734-9143 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Candee Lynn Bergstrom Lcsw NPPES

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

MRS. CANDEE LYNN BERGSTROM LCSW (NPI 1083703219) is an individual mental health provider in Fort Lee, Virginia, licensed in Virginia (0904006409) and active in the NPI registry since October 2006. She has opted out of Medicare through September 26, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1083703219

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. CANDEE LYNN BERGSTROMCredential: LCSW

Location Address8200 AVE. BFort Lee, VA 23801-1717

Mailing Address6848 Bixby Ln.Chesterfield, VA 23838 · (804) 590-9206

Phone(804) 734-9143

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1083703219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in VA · 0904006409✔ Licensed in NC · C005383

8200 AVE. B, Fort Lee, VA 23801

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Mrs. Candee Lynn Bergstrom Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 26, 2019 through September 26, 2027.

Opt-Out Effective DateSeptember 26, 2019

Opt-Out In Effect ThroughSeptember 26, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Candee Bergstrom's NPI number?

The NPI number for Candee Bergstrom is 1083703219. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Candee Bergstrom located?

Candee Bergstrom practices at 8200 Ave. B, Fort Lee, VA 23801. The listed phone number is (804) 734-9143.

What is Candee Bergstrom's specialty?

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

Is Candee Bergstrom enrolled in Medicare?

No. Candee Bergstrom has opted out of Medicare through September 26, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Candee Bergstrom accept?

Health plans from Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Candee Bergstrom 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 Candee Bergstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.