Active NPI
A Bergsma Counseling Services LLC
- Mental Health Counselor
- Grand Rapids, MI
National Provider Identifier
1962288217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- A BERGSMA COUNSELING SERVICES LLC
- Practice address
- 800 Monroe Ave NW
Grand Rapids, MI 49503-1445 - Phone
- (616) 232-6772
- NPI assigned
- Sep 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyssa Bergsma, LPC
- Title
- Owner
- Phone
- (616) 232-6722
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
800 Monroe Ave NW
Grand Rapids, MI 49503-1445
Mailing address
2333 Longmeadow St NW
Grand Rapids, MI 49504-2317
Phone (616) 481-2463
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counselor
- Hastings, MI
- NPI 1750831657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693785600000",
"number": "1962288217",
"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": "800 MONROE AVE NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031445",
"telephone_number": "616-232-6772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A BERGSMA COUNSELING SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-04",
"last_updated": "2023-09-04",
"certification_date": "2023-09-02",
"status": "A",
"authorized_official_last_name": "BERGSMA",
"authorized_official_first_name": "ALYSSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-232-6722",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.