JACOB BERGMAN
NPI 1295276897
Counselor - Mental Health in Des Moines, IA

Active since March 15, 2017Opted out of Medicare · through Jan 3, 2027
1409 CLARK ST, DES MOINES, IA 50314(515) 643-6500 Get Directions Write a Review

NPPES record last updated: March 15, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Bergman NPPES

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

JACOB BERGMAN (NPI 1295276897) is an individual mental health provider in Des Moines, Iowa, licensed in Iowa (083849) and active in the NPI registry since March 2017. He has opted out of Medicare through January 3, 2027.

NPPES Registry Identity

NPI1295276897
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB BERGMAN
Location Address1409 CLARK STDes Moines, IA 50314-1964
Mailing Address310 North Buxton StreetIndianola, IA 50125 · (515) 358-7608
Sole ProprietorNo
Enumeration DateMarch 15, 2017
NPI 1295276897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IA · 083849
1409 CLARK ST, Des Moines, IA 50314

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Jacob Bergman has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 3, 2025 through January 3, 2027.

Opt-Out Effective DateJanuary 3, 2025
Opt-Out In Effect ThroughJanuary 3, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314
Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314
Social Worker
1409 CLARK ST
DES MOINES, IA 50314
Counselor (Mental Health)
1409 CLARK ST
DES MOINES, IA 50314
Social Worker
1409 CLARK ST
DES MOINES, IA 50314
Peer Specialist
1409 CLARK ST
DES MOINES, IA 50314
Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314
Counselor (Addiction (Substance Use Disorder))
1409 CLARK ST
DES MOINES, IA 50314

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 Jacob Bergman's NPI number?

The NPI number for Jacob Bergman is 1295276897. It was assigned to this individual provider in the NPPES registry on March 15, 2017.

Where is Jacob Bergman located?

Jacob Bergman practices at 1409 Clark St, Des Moines, IA 50314. The listed phone number is (515) 643-6500.

What is Jacob Bergman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacob Bergman enrolled in Medicare?

No. Jacob Bergman has opted out of Medicare through January 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jacob Bergman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Jacob 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 Jacob Bergman was last updated on March 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.