Allegra Rose Bereszniewicz, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9662 Issued in MT

Practice address

2075 Charlotte St Ste 1
Bozeman, MT 59718-2729

Phone

(406) 556-9853

Fax

(406) 219-3223

NPI assigned

Sep 10, 2018

Last updated

Oct 20, 2023By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Gro Speech LLC

  • Rehabilitation Clinic/Center
  • Bozeman, MT
  • NPI 1679212179
  Medicare reassignment NPD

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697760000000",
    "number": "1093298648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 CHARLOTTE ST STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182729",
            "telephone_number": "406-556-9853",
            "fax_number": "406-219-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 CHARLOTTE ST STE 1",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597182729",
            "telephone_number": "406-556-9853",
            "fax_number": "406-219-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESZNIEWICZ",
        "first_name": "ALLEGRA ROSE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-10-20",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MA",
            "license": "77309",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MT",
            "license": "9662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fusionwebclinic.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2075 Charlotte St Ste 1",
            "city": "Bozeman",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597182729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Suzanne Bennett, PT
• Robert Emery Benowicz, MD
• Elizabeth Bentley, LCSW
• Elizabeth Allison Bentley
• Samantha Nicole Benzing, PCLC
• Joy Melinda Bergh, RN, APRN
• Becky Sue Berglund, LCPC
• Donald Alf Berglund, RPH
• Hannah Ellen Bergman, PHD
• Paul Michael Berkram, M.D.

• Speech-Language Pathologist in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Speech-Language Pathologist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.