Jennifer C. Bergstrom, M.A.,CCC-SLP
NPI 1558625426ActiveIndividual· Speech-Language Pathologist· Chicago, IL
Speech-Language Pathologist (M.A.,CCC-SLP) with All Care Physical Therapy, PC, practicing in Chicago, Illinois. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1558625426 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A.,CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jun 26, 2012 |
| Last updated in NPPES | Jul 28, 2026 |
| Certified by provider | Jul 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 146009056 | IL |
| Speech-Language Pathologist | 235Z00000X | LICC-3456 | MN |
| Speech-Language Pathologist | 235Z00000X | 31485 | CA |
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 Practitioner - Qualified Speech Language Pathologist (CA) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- All Care Physical Therapy, PCLong Beach, CA · 185 clinicians
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