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JACQUELINE JOANNE BERGMANN LMFT
NPI 1306218359
Marriage & Family Therapist in Walnut Creek, CA

Active since October 28, 2015Opted out of Medicare · through Jan 1, 2028
1196 BOULEVARD WAY, SUITE 11, WALNUT CREEK, CA 94595(925) 285-3735 Get Directions Write a Review

NPPES record last updated: October 28, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Joanne Bergmann Lmft NPPES

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

JACQUELINE JOANNE BERGMANN LMFT (NPI 1306218359) is an individual marriage & family therapist in Walnut Creek, California, licensed in California (LMFT53013) and active in the NPI registry since October 2015. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1306218359
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJACQUELINE JOANNE BERGMANNCredential: LMFT
Location Address1196 BOULEVARD WAY, SUITE 11Walnut Creek, CA 94595-1193
Mailing Address1196 Boulevard Way, Suite 11Walnut Creek, CA 94595-1193 · (925) 285-3735
Phone(925) 285-3735
Sole ProprietorYes
Enumeration DateOctober 28, 2015
✔ NPI 1306218359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT53013
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.
1196 BOULEVARD WAY, Walnut Creek, CA 94595
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jacqueline Joanne Bergmann Lmft 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

TOBY SHOTWELL HILL HIS
Hearing Instrument Specialist
1196 BOULEVARD WAY, SUITE 1
WALNUT CREEK, CA 94595
Contra Costa County (925) 658-1290
CONTRA COSTA HEARING AID CENTER, INC.
Hearing Instrument Specialist
1196 BOULEVARD WAY, SUITE 1
WALNUT CREEK, CA 94595
Contra Costa County (925) 658-1290

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 Jacqueline Bergmann's NPI number?

The NPI number for Jacqueline Bergmann is 1306218359. It was assigned to this individual provider in the NPPES registry on October 28, 2015.

Where is Jacqueline Bergmann located?

Jacqueline Bergmann practices at 1196 Boulevard Way Suite 11, Walnut Creek, CA 94595. The listed phone number is (925) 285-3735.

What is Jacqueline Bergmann's specialty?

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

Is Jacqueline Bergmann enrolled in Medicare?

No. Jacqueline Bergmann has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jacqueline Bergmann was last updated on October 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.