The Therapy Room Mind Health and Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE THERAPY ROOM MIND HEALTH AND WELLNESS LLC

Practice address

2581 Huntcliff LN
Panama City, FL 32405-4902

Phone

(850) 520-3321

Fax

(850) 848-6490

NPI assigned

Sep 29, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Katie C Bergman, LMHCNPI 1245635788

Title

Owner, Provider

Phone

(352) 362-6141

Specialties & licenses 3

Addresses

Other names 1

• THE THERAPY ROOM MIND HEALTH AND WELLNESS LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie C Bergman, LMHC, MC

  • Mental Health Counselor
  • Panama City, FL
  • NPI 1245635788
  Medicare reassignment NPD Authorized official
• Erin Bruner, LCSW

  • Clinical Social Worker
  • Panama City, FL
  • NPI 1043752298

  Mental Health

  Medicare reassignment NPD
• Amanda Renee Baker, LMHC

  • Mental Health Counselor
  • Coral Springs, FL
  • NPI 1063025542
  NPD (past)
• Kari Cassidy, M.ED, ED.S.

  • Cognitive & Behavioral Psychologist
  • Panama City, FL
  • NPI 1164831988
  NPD (past)
• Kiara Chantay Jones

  • Mental Health Counselor
  • Port St Joe, FL
  • NPI 1467939272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1073120432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-520-3321",
            "fax_number": "850-848-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 HUNTCLIFF LN",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054902",
            "telephone_number": "850-520-3321",
            "fax_number": "850-848-6490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 Huntcliff Ln",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "324054902",
            "country_code": "US",
            "telephone_number": "850-520-3321",
            "fax_number": "850-848-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2388 State Ave",
            "address_purpose": "LOCATION",
            "city": "Panama City",
            "state": "FL",
            "postal_code": "32405",
            "country_code": "US",
            "telephone_number": "850-520-3321",
            "fax_number": "850-848-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE THERAPY ROOM MIND HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-09-02",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "352-362-6141",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE THERAPY ROOM MIND HEALTH AND WELLNESS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Panama City, FL
• Providers in Panama City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.