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HELENA BERGMAN
NPI 1245938935
Social Worker - Clinical in Paint Lick, KY

Active since February 21, 2023PECOS EnrolledAccepts Medicare Assignment
11585 PAINT LICK SPUR, PAINT LICK, KY 40461(859) 925-4610 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2025, Feb 21, 2023 (2 updates tracked since 2023).

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

NPI1245938935
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHELENA BERGMAN
Location Address11585 PAINT LICK SPURPaint Lick, KY 40461-8370
Mailing Address11585 Paint Lick SpurPaint Lick, KY 40461-8370 · (859) 925-4610
Phone(859) 925-4610
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 21, 2023
Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1245938935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 259959
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
11585 PAINT LICK SPUR, Paint Lick, KY 40461
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Other Names 1

Other Name (5)Lena Bergman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID6406378835
PECOS Enrollment IDI20250314002428
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.

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.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

What insurance does Helena Bergman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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 19 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.