Alyssa Elgersma

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

128932 Issued in IA

Practice address

2540 106TH St Ste 202
Urbandale, IA 50322-3736

Phone

(515) 635-1805

NPI assigned

Mar 19, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Real Connections Retreats LLC

  • Adult Mental Health Clinic/Center
  • Urbandale, IA
  • NPI 1306671326
  NPD

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

{
    "created_epoch": "1742342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1467253195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 W MILLS ST",
            "city": "WINTERSET",
            "state": "IA",
            "postal_code": "502731074",
            "telephone_number": "515-212-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 106TH ST STE 202",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223736",
            "telephone_number": "515-635-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGERSMA",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-19",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0021757",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "128932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edencrest at Timberline
• Katherine Edwards
• Shelby Edwards
• Morgan Kay Eiben, BCBA
• Megan Eichmeier, ARNP, PMHNP
• Monique I Elgersma, LMFT
• Richard Elgersma, LMFT, M. LITT
• Eli Trumpy Counseling LLC
• Jenifer C Eligh, LMSW
• Elite Spinal Rehab, P.C

• Mental Health Counselor in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.