Alyssa Bergsma

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401223184 Issued in MI

Practice address

1214 N Broadway St
Hastings, MI 49058-1237

Phone

(616) 481-2463

NPI assigned

Oct 4, 2016

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.

• A Bergsma Counseling Services LLC

  • Mental Health Counselor
  • Grand Rapids, MI
  • NPI 1962288217

  Counselor

  NPD Authorized official

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1750831657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 LONGMEADOW ST NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495042317",
            "telephone_number": "616-481-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 N BROADWAY ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581237",
            "telephone_number": "616-481-2463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGSMA",
        "first_name": "ALYSSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401223184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy S Beck, MD
• Peter Carl Christian Beck, MD
• Nicole Beemer, PT
• Maria Aleksandrovna Benit, PA
• Emily Jeanne Bennett, MSN, APRN-BC
• Christine Berry-Arnold, AUD
• Sheryl Berry
• Laura Katherine Bevins, MP
• Amber Nicole Bien-Aime
• Cindy Marie Bigler, NP

• All providers in Hastings, MI
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.