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TATIANA L BERGSTROM MA, LSATP
NPI 1194325159
Counselor - Addiction (Substance Use Disorder) in Woodbridge, VA

Active since October 29, 2020PECOS Enrolled
4001 PRINCE WILLIAM PKWY STE 301, WOODBRIDGE, VA 22192(703) 688-8541(703) 213-5025 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 20, 2024, Oct 29, 2020 (2 updates tracked since 2020).

About Tatiana L Bergstrom Ma, Lsatp NPPES

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

TATIANA L BERGSTROM MA, LSATP (NPI 1194325159) is an individual addiction (substance use disorder) provider in Woodbridge, Virginia, licensed in Virginia (0718000337) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194325159
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameTATIANA L BERGSTROMCredential: MA, LSATP
Location Address4001 PRINCE WILLIAM PKWY STE 301Woodbridge, VA 22192-7667
Mailing Address4001 Prince William Pkwy Ste 301Woodbridge, VA 22192-7667 · (703) 688-8541 · Fax (703) 213-5025
Phone(703) 688-8541
Fax(703) 213-5025
Sole ProprietorYes
Enumeration DateOctober 29, 2020
Last NPPES UpdateSeptember 20, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2024
✔ NPI 1194325159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in VA · 0718000337
4001 PRINCE WILLIAM PKWY STE 301, Woodbridge, VA 22192
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatiana L Bergstrom Ma, Lsatp 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.

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.

FAMILY MENTAL HEALTH OF VIRGINIA, LLC
Social Worker (Clinical)
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (202) 390-4243
REBECCA LYNN SADTLER MSW
Social Worker (Clinical)
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (703) 688-8541
DIANA RACHEL KUHL-CHAPMAN MSW
Social Worker (Clinical)
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (540) 779-3192
MS. KEIRA LEE ANN CALE
Counselor (Mental Health)
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (703) 688-8541
MORGAN CHAFIN LMSW
Social Worker (Clinical)
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (703) 688-8541
LAURA SCHOENBORN MSW, LCSW
Social Worker (Clinical)
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (703) 688-8541
COURTNEY IRETTA DRESSLER
Counselor
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (703) 688-8541
DAN AMARIS MOLINA
Social Worker (Clinical)
4001 PRINCE WILLIAM PKWY STE 301
WOODBRIDGE, VA 22192
Prince William County (703) 688-8541

Frequently Asked Questions

What is Tatiana Bergstrom's NPI number?

The NPI number assigned to this healthcare provider is 1194325159, enumerated as an "individual" on October 29, 2020.

Where is the provider located?

The provider is located at 4001 PRINCE WILLIAM PKWY STE 301 WOODBRIDGE, VA 22192 and the phone number is (703) 688-8541.

What is the provider's specialty?

Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).

What insurance does Tatiana Bergstrom accept?

The provider might be accepting Accepts: Providence Health Plan. Please consult your insurance carrier or call the provider to verify.