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MS. JAN MICHELE BERGSTROM LMHC
NPI 1235395690
Counselor in Arlington, MA

Active since August 05, 2008
21 RANDOLPH ST, ARLINGTON, MA 02474(781) 777-1172(781) 777-1108 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jan Michele Bergstrom Lmhc NPPES

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

MS. JAN MICHELE BERGSTROM LMHC (NPI 1235395690) is an individual counselor in Arlington, Massachusetts, licensed in Massachusetts (4548) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1235395690
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. JAN MICHELE BERGSTROMCredential: LMHC
Location Address21 RANDOLPH STArlington, MA 02474-8531
Mailing Address21 Randolph StArlington, MA 02474-8531 · (781) 777-1172 · Fax (781) 777-1108
Phone(781) 777-1172
Fax(781) 777-1108
Sole ProprietorNo
Enumeration DateAugust 5, 2008
✔ NPI 1235395690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MA · 4548
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
21 RANDOLPH ST, Arlington, MA 02474
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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 Jan Bergstrom's NPI number?

The NPI number for Jan Bergstrom is 1235395690. It was assigned to this individual provider in the NPPES registry on August 5, 2008.

Where is Jan Bergstrom located?

Jan Bergstrom practices at 21 Randolph St, Arlington, MA 02474. The listed phone number is (781) 777-1172.

What is Jan Bergstrom's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jan Bergstrom was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.