Jacob P. Bergstedt, IMFT, LMFT
NPI 1538448766ActiveIndividual· Marriage & Family Therapist· Wayzata, MN
Marriage & Family Therapist (IMFT, LMFT) in Wayzata, Minnesota, licensed in MN and OH, with an NPI issued in August 2011.
Overview
| NPI | 1538448766 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | IMFT, LMFT |
| Sole proprietor | Yes |
| NPI issued | Aug 5, 2011 |
| Last updated in NPPES | Nov 11, 2024 |
| Certified by provider | Nov 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 2331 | MN |
| Marriage & Family Therapist | 106H00000X | F-1500003 | OH |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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