Individual provider Active NPI

John Bertang, MA, LPC

  • Professional Counselor
  • Myrtle Beach, SC
National Provider Identifier
1467180752
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7521 Issued in SC
Practice address
4221 Mayfair St Ste 202
Myrtle Beach, SC 29577-5757
Phone
(843) 446-1038
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 7521 SC
Professional Counselor 101YP2500X 7521 SC Primary

Addresses

Primary practice location

4221 Mayfair St Ste 202
Myrtle Beach, SC 29577-5757

Mailing address

9676 Eaddy LN
Murrells Inlet, SC 29576-9744
Phone (843) 446-1038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20260302002389 SC Practitioner - Mental Health Counselor 2860974664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4221 Mayfair St
Suite 202
Myrtle Beach, SC 29577-5757
Phone (843) 446-1038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7521SCMDOccupational Therapist
8482SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lets Talk Solutions Therapy and Counseling Services LLC CurrentSince Jan 1, 2026 Accepting new patients

Locations

4221 Mayfair St
Ste 202
Myrtle Beach, SC 29577
Phone (843) 446-1038

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1467180752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 EADDY LN",
            "city": "MURRELLS INLET",
            "state": "SC",
            "postal_code": "295769744",
            "telephone_number": "843-446-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 MAYFAIR ST STE 202",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295775757",
            "telephone_number": "843-446-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTANG",
        "first_name": "JOHN",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "7521",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.