MRS. VIRGINIA BERGSTROM (NPI# 1609929900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609929900 |
| Entity Type | Individual |
| Full Name | MRS. VIRGINIA BERGSTROM |
| Credential | LMFT |
| Practice Address |
5588 N Palm Ave Fresno CA 93704-1913 |
| Practice Telephone | 5594400980 |
| Practice Fax Number | 5594400982 |
| Mailing Telephone | 5594400980 |
| Mailing Fax Number | 5594400982 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LMFT39596 | CA | Behavioral Health & Social Service Providers |
| Street Address |
5588 N PALM AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93704-1913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922017698 | Ana E Mendoza | Psychiatry & Neurology | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2006-08-05 |
| 1851925507 | Derric Brown Lcsw, Licensed Clinical Social Worker Inc. | Clinic/Center | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2020-03-02 |
| 1346886207 | Valley Diagnostic & Psychological Services | Psychologist | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2019-11-25 |
| 1649646647 | Albert Garcia | Non-emergency Medical Transport (VAN) | 5588 N Palm Ave, Suite P-4, Fresno, CA 93704-1913 | 2015-08-13 |
| 1447633524 | David King | Non-emergency Medical Transport (VAN) | 5588 N Palm Ave, Suite P-4, Fresno, CA 93704-1913 | 2015-07-07 |
| 1275897530 | Kannon Elliott Nalls | Psychologist | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2012-07-01 |
| 1619246774 | Crystal Lynn Niehaus | Marriage & Family Therapist | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2011-12-19 |
| 1922394329 | Smith Home Care Inc. | In Home Supportive Care | 5588 N Palm Ave, Suite 12, Fresno, CA 93704-1913 | 2011-06-23 |
| 1447484951 | Timothy Alan Gallemore | Marriage & Family Therapist | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2009-05-12 |
| 1134301245 | Zoua Xiong | Marriage & Family Therapist | 5588 N Palm Ave, Fresno, CA 93704-1913 | 2007-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093090466 | Jennifer H Yun | Pharmacist | 5747 North Palm, Fresno, CA 93704 | 2011-10-18 |
| 1437395704 | Kenneth L. Hallstone | Marriage & Family Therapist | 4040 N. Wilson St., Fresno, CA 93704 | 2008-12-17 |
| 1811147796 | Kenneth S. Masumoto Dds Inc | Dentist | 430 W. Shaw, Fresno, CA 93704 | 2008-09-26 |
| 1578760526 | Wanda Kay Gordon Mcintosh | Social Worker | 5588 N Palm Ave # 10, Fresno, CA 93704 | 2007-07-02 |
| 1285839456 | Alison Elise Armstrong-conner | Psychologist | 6475 N. Palm Avenue, Suite 101, Fresno, CA 93704 | 2007-06-18 |
| 1952519498 | Henry Truong | Student in an Organized Health Care Education/Training Program | 615 E. Clinton Ave., Fresno, CA 93704 | 2007-05-18 |
| 1205042900 | Michelle Kathleen Gash | Clinic/Center | 5464 N Palm Ave # 101, Fresno, CA 93704 | 2007-05-16 |
| 1467674705 | Loyds Liberty Homes, Inc | Intermediate Care Facility, Mentally Retarded | 6520 North Colonial, Fresno, CA 93704 | 2007-05-03 |
| 1952522559 | Dawn Keisha Denise Aholu | Occupational Therapist | 5180 N. Palm, Suite 102, Fresno, CA 93704 | 2007-05-01 |
| 1235359191 | Yolanda Rodriguez Andreatta | Dental Hygienist | 310 W Shaw, Fresno, CA 93704 | 2007-04-25 |
| Find all providers in zip 93704 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962012658 | Susan Vue | Counselor | 4855 E King Cyn Rd Ste 105, Fresno, CA 93727-3811 | 2020-08-06 |
| 1104445543 | Chavon Cecily Williams | Counselor | 4006 Redwood Hill Ct, Fresno, TX 77545-8726 | 2020-04-15 |
| 1003444530 | Healing Hopes, Inc. | Counselor | 1960 N Gateway Blvd, Fresno, CA 93727-1604 | 2020-03-30 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1730726407 | Martha Lynn Hosier | Counselor | 1616 W Shaw Ave Ste B2, Fresno, CA 93711-3513 | 2019-12-02 |
| 1598228439 | Bayon B Harris Sr. | Counselor | 4111 W Princeton Ave, Fresno, CA 93722-6810 | 2019-04-08 |
| 1205392008 | Andrew Marshall Davis | Counselor | 320 E Warner Ave, Fresno, CA 93710-3711 | 2019-02-16 |
| 1902375637 | Andrew Arroyo | Counselor | 1925 E Rialto Ave, Fresno, CA 93726-0229 | 2018-11-26 |
| 1265917504 | Romaine Ornelia Desclos | Counselor | 6435 N Palm Ave Ste 103, Fresno, CA 93704-1086 | 2018-10-02 |
| 1508357773 | Armando Mendoza | Counselor | 3138 W Dakota Ave Spc 215, Fresno, CA 93722-4991 | 2018-05-23 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.