Organization Active NPI

Jana Bergfeld Lisw LLC

  • Adult Mental Health Clinic/Center
  • Columbus, OH
National Provider Identifier
1255997599
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JANA BERGFELD LISW LLC
Practice address
1071 Fishinger Rd Ste 211
Columbus, OH 43221-2301
Phone
(708) 373-5959
NPI assigned
May 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Jana Bergfeld, MSWNPI 1366573610
Title
President/Lic. Clinical Social Work
Phone
(708) 373-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1071 Fishinger Rd Ste 211
Columbus, OH 43221-2301

Mailing address

2693 Berwyn Rd
Columbus, OH 43221-3207
Phone (708) 373-5959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210917001412 OH Part B Supplier - Clinic/Group Practice 3476950494 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

1071 Fishinger Rd
Ste 211
Columbus, OH 43221
Phone (708) 373-5959

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1255997599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 BERWYN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213207",
            "telephone_number": "708-373-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1071 FISHINGER RD STE 211",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212301",
            "telephone_number": "708-373-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANA BERGFELD LISW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "BERGFELD",
        "authorized_official_first_name": "JANA",
        "authorized_official_title_or_position": "PRESIDENT/LIC. CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "708-373-5959",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.