HELENA BERGMAN
NPI 1245938935
Social Worker - Clinical in Paint Lick, KY
About Helena Bergman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HELENA BERGMAN (NPI 1245938935) is an individual clinical provider in Paint Lick, Kentucky, licensed in Kentucky (259959) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Helena Bergman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Helena Bergman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lexington, KY 40509
- Reassigned Medicare billing, Kentucky enrollment
- 8 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40461 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Helena Bergman's NPI number?
The NPI number for Helena Bergman is 1245938935. It was assigned to this individual provider in the NPPES registry on February 21, 2023. The provider is also known as Lena Bergman.
Where is Helena Bergman located?
Helena Bergman practices at 11585 Paint Lick Spur, Paint Lick, KY 40461. The listed phone number is (859) 925-4610.
What is Helena Bergman's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Helena Bergman enrolled in Medicare?
Yes. Helena Bergman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Helena Bergman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Helena Bergman reassigns Medicare benefits to Bluegrass Counseling & Trauma Services (Lexington, KY). 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 Helena Bergman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Helena Bergman accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Helena Bergman 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 Helena Bergman was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Helena Bergman · NPI 1245938935
Clinical provider in Paint Lick, Kentucky. Individual provider, active in the CMS NPPES registry since February 21, 2023.
## Identity
- **NPI:** 1245938935 (Entity type: Individual)
- **Enumerated:** February 21, 2023
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 259959 (Kentucky)
- **Sole proprietor:** No
## Practice location
- **Address:** 11585 PAINT LICK SPUR, Paint Lick, KY 40461-8370
- **Phone:** (859) 925-4610
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bluegrass Counseling & Trauma Services (NPI 1366197147, Lexington, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** January 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245938935) · Data from the CMS NPPES public registry.