MS. REBECCA T BERGUM LPC, CSAC
NPI 1356411169
Counselor - Professional in Charlottesville, VA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YP2500X and a focus in Professional.

Active since November 09, 2006PECOS Enrolled

500 OLD LYNCHBURG RD, CHARLOTTESVILLE, VA 22903(434) 970-2178(434) 970-2170 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 6, 2025, Sep 11, 2025 (2 updates tracked since 2025).

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About Ms. Rebecca T Bergum Lpc, Csac NPPES

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

MS. REBECCA T BERGUM LPC, CSAC (NPI 1356411169) is an individual professional provider in Charlottesville, Virginia, licensed in Virginia (0701002384) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356411169

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. REBECCA T BERGUMCredential: LPC, CSAC

Location Address500 OLD LYNCHBURG RDCharlottesville, VA 22903-6500

Mailing Address11 Shortwood CirPalmyra, VA 22963-2747 · (434) 970-2178 · Fax (434) 970-2170

Phone(434) 970-2178

Fax(434) 970-2170

Sole ProprietorNo

Enumeration DateNovember 9, 2006

Last NPPES UpdateOctober 6, 20252 updates tracked since enumeration

NPPES CertifiedOctober 6, 2025

✔ NPI 1356411169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in VA · 0701002384

500 OLD LYNCHBURG RD, Charlottesville, VA 22903

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Other Identifiers 2

Other11525477VA · Caqh

Other282972VA · Anthem Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Rebecca T Bergum Lpc, Csac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.