1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Marriage Family Therapist
  6. NPI Profile

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

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: November 01, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Bergstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denova Collaborative Health, LLC
Same address
Multi-Specialty
2120 W GUADALUPE RD STE 6
Mesa, AZ 85202
  • Reassigned Medicare billing, Arizona enrollment
  • 282 clinicians in this Medicare group
NPI 1124549043 (602) 230-7373

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

Other Providers at the Same Location NPPES 15

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)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (602) 230-7373
MARK ALLEN WILLIAMS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (602) 230-7373
DENOVA COLLABORATIVE HEALTH, LLC
Clinic/Center (Multi-Specialty)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (602) 230-7373
MS. JOY O. AGEH LPC
Counselor (Professional)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (602) 230-7373
MS. KAREN HOUSE LPC
Counselor (Mental Health)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (480) 628-8577
MS. MARJORIE SWIFT-CADY LCSW
Social Worker (Clinical)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (602) 230-7373
DR. MARCUS W FOSSMEYER DNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (602) 230-7373
DR. JESSICA ASHLEY CAPPS DNP
Nurse Practitioner (Psychiatric/Mental Health)
2120 W GUADALUPE RD STE 6
MESA, AZ 85202
Maricopa County (602) 230-7373

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 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.

Where is Michael Bergstrom located?

Michael Bergstrom practices at 2120 W Guadalupe Rd Ste 6, Mesa, AZ 85202. The listed phone number is (602) 230-7373.

What is Michael Bergstrom's specialty?

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

Is Michael Bergstrom enrolled in Medicare?

Yes. Michael Bergstrom is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Bergstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bergstrom reassigns Medicare benefits to Denova Collaborative Health, LLC (Mesa, AZ). The 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 Michael Bergstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Bergstrom accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Michael 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 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 5 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.