Individual provider Active NPI

Anna Bertrand, MSE, TLMHC

  • Mental Health Counselor
  • Sioux City, IA
National Provider Identifier
1972214856
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
115716 Issued in IA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
115716IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Ranch Behavioral Services Addiction (Substance Use Disorder) CurrentSince Oct 1, 2021 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.

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.

Verify at the official NPI Registry.