Individual provider Active NPI

Secrette Antoinette Bertot, MS, NCC,LPC

  • Mental Health Counselor
  • Moorestown, NJ
National Provider Identifier
1013009935
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
300 Mill St Ste 255
Moorestown, NJ 08057-2522
Phone
(856) 772-8212
Fax
(856) 234-1842
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

300 Mill St Ste 255
Moorestown, NJ 08057-2522

Mailing address

120 S Lincoln Ave
Moorestown, NJ 08057-1527
Phone (856) 906-0672

Other practice location 1

120 S Lincoln Ave
Moorestown, NJ 08057-1527
Phone (856) 906-0672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303001886 NJ Practitioner - Mental Health Counselor 2860850815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 S Lincoln Ave
Moorestown, NJ 08057-1527
Phone (856) 906-0672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Share Counseling Services Mental Health CurrentSince Dec 13, 2025 Accepting new patients

Locations

300 Mill St
Ste 255
Moorestown, NJ 08057
Phone (856) 772-8212

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1013009935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S LINCOLN AVE",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571527",
            "telephone_number": "856-906-0672",
            "fax_number": "856-906-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MILL ST STE 255",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080572522",
            "telephone_number": "856-772-8212",
            "fax_number": "856-234-1842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080571527",
            "country_code": "US",
            "telephone_number": "856-906-0672",
            "fax_number": "856-906-0672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERTOT",
        "first_name": "SECRETTE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Prof.",
        "credential": "MS, NCC,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.