ELISABETH ERIN WAGNER BERGDAHL
NPI 1508221318
Counselor - Mental Health in Woodinville, WA

Active since December 21, 2015
17330 135TH AVE NE, WOODINVILLE, WA 98072(425) 998-9769 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 24, 2020, Feb 23, 2017, Dec 22, 2016 and 1 more (4 updates tracked since 2015).

About Elisabeth Erin Wagner Bergdahl NPPES

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

ELISABETH ERIN WAGNER BERGDAHL (NPI 1508221318) is an individual mental health provider in Woodinville, Washington, licensed in Washington (MC 60724657) and active in the NPI registry since December 2015. She maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1508221318
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELISABETH ERIN WAGNER BERGDAHL
Location Address17330 135TH AVE NEWoodinville, WA 98072-8522
Mailing Address17330 135th Ave NeWoodinville, WA 98072-8522 · (425) 998-9769
Sole ProprietorNo
Enumeration DateDecember 21, 2015
Last NPPES UpdateJune 24, 20204 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1508221318 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 WA · MC 60724657
17330 135TH AVE NE, Woodinville, WA 98072

Secondary Practice Location 1

Location 13322 Broadway Fl 3, Compass HealthEverett, WA 98201-4425 · Phone (425) 349-6200

Other Providers at the Same Location NPPES 6

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

Dentist (General Practice)
17330 135TH AVE NE, SUITE 1-A
WOODINVILLE, WA 98072
Physical Therapist
17330 135TH AVE NE, SUITE 1C
WOODINVILLE, WA 98072
Counselor
17330 135TH AVE NE
WOODINVILLE, WA 98072
Physical Therapist
17330 135TH AVE NE, SUITE 1C
WOODINVILLE, WA 98072
Physical Therapist
17330 135TH AVE NE, SUITE 1C
WOODENVILLE, WA 98072
Dentist (General Practice)
17330 135TH AVE NE, SUITE 1A
WOODINVILLE, WA 98072

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 Elisabeth Bergdahl's NPI number?

The NPI number for Elisabeth Bergdahl is 1508221318. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Elisabeth Bergdahl located?

Elisabeth Bergdahl practices at 17330 135th Ave NE, Woodinville, WA 98072. The listed phone number is (425) 998-9769.

What is Elisabeth Bergdahl's specialty?

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

When was this NPI record last updated?

The NPPES record for Elisabeth Bergdahl was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.