MS. JAN MICHELE BERGSTROM LMHC NPI 1235395690

NPI Information

  • NPI: 1235395690
  • Provider Name: MS. JAN MICHELE BERGSTROM, LMHC
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 21 RANDOLPH ST
    ARLINGTON, MA
    ZIP 02474
  • Phone: (781) 777-1172

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NPI Details

MS. Jan Michele Bergstrom, LMHC is a counselor in Arlington, MA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Jan Michele Bergstrom, LMHC NPI is 1235395690. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 RANDOLPH ST
ARLINGTON, MA
ZIP 02474-531
Phone: (781) 777-1172
Fax: (781) 777-1108

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselor4548MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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