Michael Bergstrom, LMFT
Individual provider Active NPI Marriage & Family Therapist · Mesa, AZ
NPI 1225756216 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1225756216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-16517 (AZ)
- Practice address
- 2120 W Guadalupe Rd Ste 6
Mesa, AZ 85202-7366 - Phone
- (602) 230-7373
- Fax
- (480) 628-8577
- NPI assigned
- Aug 16, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3101 N Central Ave
Suite 550
Phoenix, AZ 85012-2635
9494 E Redfield Rd Apt
Suite 2094
Scottsdale, AZ 85260-3767
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260526002749 | AZ | Practitioner - Marriage and Family Therapist | 6204306707 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAMFT-10777 | AZ | MD | Marriage & Family Therapist |
| LMFT-16517 | AZ | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-16517 | AZ | Yes |
| Marriage & Family Therapist | 106H00000X | LAMFT-10777 | AZ |
Addresses
Primary practice location
2120 W Guadalupe Rd Ste 6
Mesa, AZ 85202-7366
Mailing address
3101 N Central Ave Ste 550
Phoenix, AZ 85012-2635
Phone (602) 230-7373
Other providers in Mesa, AZ
- Gabrielle Bergeron
- Lisa Beth Bergin
- Ondalynn Berglund
- Steven R Bergman
- Wendy Bergman
- Mary Angelique Noelle Berina
- Marc J Berkowitz
- Michelle A Berman
- Danny Bermudez
- Ashtyn Bernard
All providers in Mesa, AZ · Marriage & Family Therapist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.