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JENNIFER C BERGSTROM M.A.,CCC-SLP
NPI 1558625426
Speech-Language Pathologist in Chicago, IL

Active since June 26, 2012Accepts Medicare Assignment
5133 N DAMEN AVE, CHICAGO, IL 60625(773) 405-7199 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer C Bergstrom M.a.,ccc-slp NPPES

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

JENNIFER C BERGSTROM M.A.,CCC-SLP (NPI 1558625426) is an individual speech-language pathologist provider in Chicago, Illinois, licensed in Illinois (146009056) and active in the NPI registry since June 2012. She maintains 7 additional practice locations and is a graduate of Other (2006).

NPPES Registry Identity

NPI1558625426
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameJENNIFER C BERGSTROMCredential: M.A.,CCC-SLP
Location Address5133 N DAMEN AVEChicago, IL 60625-1316
Mailing Address5133 N Damen AveChicago, IL 60625-1316
Phone(773) 405-7199
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 26, 2012
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1558625426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses✔ Licensed in IL · 146009056✔ Licensed in MN · LICC-3456✔ Licensed in CA · 31485
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
5133 N DAMEN AVE, Chicago, IL 60625
Open in Google Maps ↗

Secondary Practice Locations 7

Location 116320 Roscoe BlvdVan Nuys, CA 91406-1250 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 28929 Aero Dr Ste ESan Diego, CA 92123-2231 · Phone (858) 277-2277 · Fax (818) 357-2505
Location 36420 Wilshire Blvd Ste 600Los Angeles, CA 90048-5521 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 44300 Long Beach Blvd Ste 700Long Beach, CA 90807-2000 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 5599 S Barranca Ave Ste 555Covina, CA 91723-2791 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 65806 Pacific BlvdHuntington Park, CA 90255-2618 · Phone (818) 894-2273 · Fax (818) 357-2505
Location 73356 W Ball Rd Ste 219Anaheim, CA 92804-3728 · Phone (818) 894-2273 · Fax (818) 357-2505

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer C Bergstrom M.a.,ccc-slp 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 ID8022524719
PECOS Enrollment IDI20250721000926

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Bergstrom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Slptele LLC
955 mi
Behavior Analyst
810 S MASON RD STE 315
Katy, TX 77450
  • Reassigned Medicare billing, California enrollment
  • 124 clinicians in this Medicare group
NPI 1497393557 (281) 652-5200
All Care Physical Therapy, P.C.
1,758 mi
Physical Therapist
6320 CANOGA AVE FL 15
Woodland Hills, CA 91367
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: All Care Physical Therapy, PC
  • 266 clinicians in this Medicare group
NPI 1104120385 (818) 894-2273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jennifer Bergstrom's NPI number?

The NPI number for Jennifer Bergstrom is 1558625426. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Jennifer Bergstrom located?

Jennifer Bergstrom practices at 5133 N Damen Ave, Chicago, IL 60625. The listed phone number is (773) 405-7199.

What is Jennifer Bergstrom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Jennifer Bergstrom enrolled in Medicare?

Yes. Jennifer Bergstrom 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.

Which organizations bill Medicare for Jennifer Bergstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bergstrom reassigns Medicare benefits to 2 organizations: Slptele LLC (Katy, TX) and All Care Physical Therapy, P.C. (Woodland Hills, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Bergstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Bergstrom was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.