The Therapy Room Mind Health and Wellness LLC
NPI 1073120432ActiveOrganization· Counselor, Mental Health· Panama City, FL
Counselor, Mental Health in Panama City, Florida, registered in NPPES in September 2020. The authorized official on file is Katie C. Bergman, LMHC, Owner, Provider. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073120432 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2020 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | May 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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