Active NPIIndividual provider

Ms. Jan M Bergstrom, LMHC

Counselor in Arlington, Massachusetts

NPI Number1235395690
Practice location
21 Randolph St, Arlington, MA 02474-8531
Fax
781-777-1108
Last updated
August 5, 2008

Jan Michele Bergstrom is a Counselor based in Arlington, MA. Jan Michele Bergstrom practices in Arlington, MA and has the professional credentials of LMHC. The NPI Number for Jan Michele Bergstrom is 1235395690 and holds a License No. 4548 (MA). The current practice location address for Jan Michele Bergstrom is 21 Randolph St, Arlington, MA 02474-8531 and can be reached out via phone at 781-777-1172 and via fax at 781-777-1108.

Provider Profile Details

NPI Number
1235395690
Provider Name
Jan Michele Bergstrom
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
21 Randolph St, Arlington, MA 02474-8531
Phone Number
781-777-1172
Fax Number
781-777-1108
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2008
Last Update Date
August 5, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Randolph St
Arlington, MA 02474-8531
Zip
02474-8531
Phone Number
781-777-1172
Fax Number
781-777-1108
Arlington, MA 02474Get directions →

Provider Business Mailing Address Details

Address
21 Randolph St
Arlington, MA 02474-8531
City
Arlington
State
MA
Zip
02474-8531
Phone Number
781-777-1172
Fax Number
781-777-1108

License Information

License Number
4548
License State
MA
Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Jan M Bergstrom, LMHC?

The NPI number of Ms. Jan M Bergstrom, LMHC is 1235395690. It was assigned on August 5, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Jan M Bergstrom, LMHC?

Ms. Jan M Bergstrom, LMHC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in MA under license number 4548.

Where does Ms. Jan M Bergstrom, LMHC practice?

The practice location is 21 Randolph St, Arlington, MA 02474-8531. The office can be reached at 781-777-1172 (phone) or 781-777-1108 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235395690 directly on the NPPES registry website.

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