AMANDA LISSNER BERGQUIST
NPI 1164074241
Counselor - Mental Health in Holyoke, MA

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment
303 BEECH ST, HOLYOKE, MA 01040(413) 540-1155 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, Jul 10, 2019 (2 updates tracked since 2019).

About Amanda Lissner Bergquist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA LISSNER BERGQUIST (NPI 1164074241) is an individual mental health provider in Holyoke, Massachusetts, licensed in Massachusetts (5000774) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164074241
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA LISSNER BERGQUIST
Location Address303 BEECH STHolyoke, MA 01040-3968
Mailing Address511 Main StHampden, MA 01036-9640
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 10, 2019
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1164074241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MA · 5000774
303 BEECH ST, Holyoke, MA 01040

Other Identifiers 1

Other1851444616MA · River Valley Counseling Center

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Lissner Bergquist is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577900315
PECOS Enrollment IDI20240328000991
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
303 BEECH ST, RIVER VALLEY COUNSELING CENTER
HOLYOKE, MA 01040
Peer Specialist
303 BEECH ST
HOLYOKE, MA 01040
Counselor
303 BEECH ST
HOLYOKE, MA 01040
Counselor
303 BEECH ST
HOLYOKE, MA 01040
Counselor (Mental Health)
303 BEECH ST
HOLYOKE, MA 01040
Counselor
303 BEECH ST
HOLYOKE, MA 01040
Counselor (Mental Health)
303 BEECH ST
HOLYOKE, MA 01040
Counselor
303 BEECH ST
HOLYOKE, MA 01040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bergquist's NPI number?

The NPI number for Amanda Bergquist is 1164074241. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Where is Amanda Bergquist located?

Amanda Bergquist practices at 303 Beech St, Holyoke, MA 01040. The listed phone number is (413) 540-1155.

What is Amanda Bergquist's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Amanda Bergquist enrolled in Medicare?

Yes. Amanda Bergquist is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amanda Bergquist was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.