Rebecca T Bergum, LPC, CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002384 Issued in VA

Practice address

500 Old Lynchburg Rd
Charlottesville, VA 22903-6500

Phone

(434) 970-2178

Fax

(434) 970-2170

NPI assigned

Nov 9, 2006

Last updated

Oct 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Region Ten Community Community Services Board

  • Community/Behavioral Health Agency
  • Charlottesville, VA
  • NPI 1942270699
  Medicare reassignment
• Peachtree Counseling Center, Inc.

  • Counselor
  • Lynchburg, VA
  • NPI 1053549592
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759708800000",
    "number": "1356411169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SHORTWOOD CIR",
            "city": "PALMYRA",
            "state": "VA",
            "postal_code": "229632747",
            "telephone_number": "434-970-2178",
            "fax_number": "434-970-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OLD LYNCHBURG RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229036500",
            "telephone_number": "434-970-2178",
            "fax_number": "434-970-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGUM",
        "first_name": "REBECCA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Hilliard Berg
• Mary Keegan Berger
• James D. Bergin, M.D.
• Alanna J Bergman I, NP
• Ashleigh S Bergstrom, MSN, RN, FNP-BC
• Ethan Schuyler Bergvall, M.D.
• Corey Michael Berlant, DO
• Connor David Berlin, MD
• Meredith Berlin
• Jennifer Berman Cassell, AUD

• Professional Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.