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MS. AMY BERGHOLTZ B.S.
NPI 1124159454
Counselor - Mental Health in Pacoima, CA

Active since March 08, 2007PECOS Enrolled
12450 VAN NUYS BLVD, SUITE 200, PACOIMA, CA 91331(818) 896-1161(818) 896-5069 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Amy Bergholtz B.s. NPPES

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

MS. AMY BERGHOLTZ B.S. (NPI 1124159454) is an individual mental health provider in Pacoima, California and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124159454
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. AMY BERGHOLTZCredential: B.S.
Location Address12450 VAN NUYS BLVD, SUITE 200Pacoima, CA 91331-1391
Mailing Address257 1/2 Isabel St.Los Angeles, CA 90065
Phone(818) 896-1161
Fax(818) 896-5069
Sole ProprietorNo
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1124159454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12450 VAN NUYS BLVD, Pacoima, CA 91331
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Other Identifiers 2

Medicaid7420CA
Medicaid7068CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amy Bergholtz B.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
49 services12 patients

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.

CESAR FRANCO
Case Manager/Care Coordinator
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MRS. SUE NOVACK SORENSEN LCSW
Social Worker (Clinical)
12450 VAN NUYS BLVD, 100
PACOIMA, CA 91331
Los Angeles County (818) 896-8366
VALENTINA USUBYAN
Counselor (Mental Health)
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MARIA DIAZ
Peer Specialist
12450 VAN NUYS BLVD, 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
MR. VERNON WOLF WINDELL MFT
Marriage & Family Therapist
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELENA KARENEV
Counselor (Mental Health)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
ELANI TUCHMAN M.A.
Psychologist (Clinical)
12450 VAN NUYS BLVD, SUITE 200
PACOIMA, CA 91331
Los Angeles County (818) 896-1161
SAM MAVIS
Student in an Organized Health Care Education/Training Program
12450 VAN NUYS BLVD
PACOIMA, CA 91331
Los Angeles County (818) 896-1161

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 Amy Bergholtz's NPI number?

The NPI number for Amy Bergholtz is 1124159454. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Amy Bergholtz located?

Amy Bergholtz practices at 12450 Van Nuys Blvd Suite 200, Pacoima, CA 91331. The listed phone number is (818) 896-1161.

What is Amy Bergholtz's specialty?

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

Is Amy Bergholtz enrolled in Medicare?

Yes. Amy Bergholtz is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Bergholtz was last updated on July 9, 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.