Active NPI
Anna Bertrand, MSE, TLMHC
- Mental Health Counselor
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 115716
- Practice address
- 505 5TH St Ste 100
Sioux City, IA 51101-1510 - Phone
- (712) 277-2007
- Fax
- (712) 277-2189
- NPI assigned
- Dec 12, 2022
- Last updated
- Mar 20, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | 115716 | IA | Primary |
Addresses
Primary practice location
505 5TH St Ste 100
Sioux City, IA 51101-1510
Mailing address
505 5TH St Ste 100
Sioux City, IA 51101-1510
Phone (712) 277-2007
Other practice location 1
822 Douglas St Ste 209
Sioux City, IA 51101-1029
Phone (712) 277-2007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115716 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sky Ranch Behavioral Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
505 5th St
Ste 100
Sioux City, IA 51101
Phone (712) 253-7100
505 5th St
Ste 520
Sioux City, IA 51101
Phone (712) 224-2892
822 Douglas St
Ste 201
Sioux City, IA 51101
Phone (712) 577-2439
822 Douglas St
Ste 209
Sioux City, IA 51101
Phone (712) 253-7100
Organizations & group practices 1
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.
-
- Addiction (Substance Use Disorder) Counselor
- Sioux City, IA
- NPI 1316609720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710892800000",
"number": "1972214856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "505 5TH ST STE 100",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011510",
"telephone_number": "712-277-2007",
"fax_number": "712-277-2189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 5TH ST STE 100",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011510",
"telephone_number": "712-277-2007",
"fax_number": "712-277-2189"
}
],
"practiceLocations": [
{
"address_1": "822 Douglas St Ste 209",
"address_purpose": "LOCATION",
"city": "Sioux City",
"state": "IA",
"postal_code": "511011029",
"country_code": "US",
"telephone_number": "712-277-2007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BERTRAND",
"first_name": "ANNA",
"credential": "MSE, TLMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-12",
"last_updated": "2024-03-20",
"certification_date": "2024-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "115716",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.