MR. MICHAEL I BERGMAN
NPI 1972050466
Counselor - Mental Health in Olympia, WA

Active since September 01, 2016PECOS EnrolledAccepts Medicare Assignment
2101 4TH AVE E STE 200, OLYMPIA, WA 98506(503) 887-4137(360) 956-0379 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Michael I Bergman NPPES

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

MR. MICHAEL I BERGMAN (NPI 1972050466) is an individual mental health provider in Olympia, Washington, licensed in Washington (60446978) and active in the NPI registry since September 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972050466
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL I BERGMAN
Location Address2101 4TH AVE E STE 200Olympia, WA 98506-6512
Mailing Address2101 4th Ave E Ste 200Olympia, WA 98506-6512 · (503) 887-4137 · Fax (360) 956-0379
Fax(360) 956-0379
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 1, 2016
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 26, 2024
NPI 1972050466 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 · 60446978
2101 4TH AVE E STE 200, Olympia, WA 98506

Accepted Insurance

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

Mr. Michael I Bergman 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 ID446697114
PECOS Enrollment IDI20240318003210
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.

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
2101 4TH AVE E STE 200
OLYMPIA, WA 98506
Counselor (Mental Health)
2101 4TH AVE E STE 200
OLYMPIA, WA 98506
Clinic/Center (Mental Health (Including Community Mental Health Center))
2101 4TH AVE E STE 200
OLYMPIA, WA 98506
Counselor (Mental Health)
2101 4TH AVE E STE 200
OLYMPIA, WA 98506
Social Worker (Clinical)
2101 4TH AVE E STE 200
OLYMPIA, WA 98506
Social Worker (Clinical)
2101 4TH AVE E STE 200
OLYMPIA, WA 98506
Social Worker (Clinical)
2101 4TH AVE E STE 200
OLYMPIA, WA 98506
Social Worker (Clinical)
2101 4TH AVE E STE 200
OLYMPIA, WA 98506

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 Michael Bergman's NPI number?

The NPI number for Michael Bergman is 1972050466. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Michael Bergman located?

Michael Bergman practices at 2101 4th Ave E Ste 200, Olympia, WA 98506. The listed phone number is (503) 887-4137.

What is Michael Bergman's specialty?

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

Is Michael Bergman enrolled in Medicare?

Yes. Michael Bergman 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.

What insurance does Michael Bergman accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Michael Bergman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Bergman was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.