MRS. VIRGINIA BERGSTROM LMFT
NPI 1609929900
Counselor - Mental Health in Fresno, CA

Q: What is Virginia Bergstrom's NPI number?

The NPI number for Virginia Bergstrom is 1609929900. It was assigned to this individual provider in the NPPES registry on January 19, 2007.

Q: What is Virginia Bergstrom's specialty?

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

Active since January 19, 2007PECOS EnrolledAccepts Medicare Assignment

5588 N PALM AVE, FRESNO, CA 93704(559) 440-0980(559) 440-0982 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mrs. Virginia Bergstrom Lmft NPPES

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

MRS. VIRGINIA BERGSTROM LMFT (NPI 1609929900) is an individual mental health provider in Fresno, California, licensed in California (LMFT39596) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1609929900

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. VIRGINIA BERGSTROMCredential: LMFT

Location Address5588 N PALM AVEFresno, CA 93704-1913

Mailing Address5588 N Palm AveFresno, CA 93704-1913 · (559) 440-0980 · Fax (559) 440-0982

Phone(559) 440-0980

Fax(559) 440-0982

Sole ProprietorYes

Medical School CMSOtherGraduated 1999

Enumeration DateJanuary 19, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1609929900 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 CA · LMFT39596

5588 N PALM AVE, Fresno, CA 93704

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Virginia Bergstrom Lmft 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 ID4789027889

PECOS Enrollment IDI20240206001440

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.

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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.

CHELESSE HEINSOHN

Behavior Technician