Individual provider Active NPI

Anna Bergin

  • Mental Health Counselor
  • Alexandria, VA
National Provider Identifier
1689243404
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704012618 Issued in VA
Practice address
6049 N Morgan St
Alexandria, VA 22312-5517
Phone
(703) 376-1190
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0704012618 VA Primary

Addresses

Primary practice location

6049 N Morgan St
Alexandria, VA 22312-5517

Mailing address

6049 N Morgan St
Alexandria, VA 22312-5517
Phone (703) 376-1190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260508003479 DC Practitioner - Mental Health Counselor 9830667641 Reassigns benefits to 1 organization
I20260513004064 VA Practitioner - Mental Health Counselor 9830667641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493

2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704012618VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neutral Ground Counseling Group Mental Health Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1689243404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 N MORGAN ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125517",
            "telephone_number": "703-376-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 N MORGAN ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125517",
            "telephone_number": "703-376-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGIN",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704012618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.