Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael I Bergman

Individual provider Mental Health Counselor · NPI 1972050466

Mr. Michael I Bergman is a Mental Health Counselor in Olympia, Washington. Qualified in 2013, 13 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2016
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Practice location Address checks out

2101 4th Ave E Ste 200
Olympia, WA 98506-6512
Phone: (503) 887-4137
Fax: (360) 956-0379
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 60446978 (WA)

Record details

NPI number1972050466
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 1, 2016
Last updated in NPPESFebruary 26, 2024
Certification dateFebruary 26, 2024
Mailing address2101 4th Ave E Ste 200, Olympia, WA 98506-6512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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