MICHAEL BERGSTROM LMFT
NPI 1225756216
Marriage & Family Therapist in Mesa, AZ

Q: What is Michael Bergstrom's NPI number?

The NPI number for Michael Bergstrom is 1225756216. It was assigned to this individual provider in the NPPES registry on August 16, 2022.

Q: What is Michael Bergstrom's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Bergstrom was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 16, 2022PECOS Enrolled

2120 W GUADALUPE RD STE 6, MESA, AZ 85202(602) 230-7373(480) 628-8577 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Aug 16, 2022 (2 updates tracked since 2022).

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About Michael Bergstrom Lmft NPPES

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

MICHAEL BERGSTROM LMFT (NPI 1225756216) is an individual marriage & family therapist in Mesa, Arizona, licensed in Arizona (LMFT-16517) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1225756216

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMICHAEL BERGSTROMCredential: LMFT

Location Address2120 W GUADALUPE RD STE 6Mesa, AZ 85202-7366

Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455

Phone(602) 230-7373

Fax(480) 628-8577

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 16, 2022

Last NPPES UpdateMay 12, 20262 updates tracked since enumeration

NPPES CertifiedMay 12, 2026

✔ NPI 1225756216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Licenses✔ Licensed in AZ · LMFT-16517✔ Licensed in AZ · LAMFT-10777

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2120 W GUADALUPE RD STE 6, Mesa, AZ 85202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc..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)

Michael Bergstrom Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204306707

PECOS Enrollment IDI20260526002749

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 13

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

DR. JESUS PRADO DNP, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)