Individual provider Active NPI

Bryce W Gosselin, LMHP, MSW

  • Mental Health Counselor
  • Hastings, NE
National Provider Identifier
1649991308
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6131 Issued in NE
Practice address
835 S Burlington Ave Ste 108
Hastings, NE 68901-6928
Phone
(402) 463-7711
Fax
(402) 461-5099
NPI assigned
Sep 9, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 2372 NE
Mental Health Counselor 101YM0800X 6131 NE Primary

Addresses

Primary practice location

835 S Burlington Ave Ste 108
Hastings, NE 68901-6928

Mailing address

715 N Saint Joseph Ave
Hastings, NE 68901-4451
Phone (402) 461-5024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240702000711 NE Practitioner - Clinical Social Worker 5799229704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

835 S Burlington Ave
108 Lanning Center for Behavioral Servi
Hastings, NE 68901-6928
Phone (402) 463-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2372NEMDCounselor
6131NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Lanning Memorial Hospital Association Social Worker CurrentSince May 17, 2024 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince May 17, 2024 Accepting new patients

Locations

715 N Saint Joseph Ave
Hastings, NE 68901
Phone (402) 461-5036

835 S Burlington Ave
Ste 108
Hastings, NE 68901
Phone (402) 463-7711

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1649991308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014451",
            "telephone_number": "402-461-5024",
            "fax_number": "402-460-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 S BURLINGTON AVE STE 108",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689016928",
            "telephone_number": "402-463-7711",
            "fax_number": "402-461-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOSSELIN",
        "first_name": "BRYCE",
        "middle_name": "W",
        "credential": "LMHP, MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-09",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "2372",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "6131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.