Benjamin Henry Bertino, LPC
Individual provider Active NPI Mental Health Counselor · Simpsonville, SC
NPI 1568356756 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1568356756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC.0022198 (CO)
- Practice address
- 357 Blue Danube Dr
Simpsonville, SC 29681-4576 - Phone
- (856) 701-2353
- NPI assigned
- Jun 4, 2025
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0022198 | CO | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0022198 | CO | Yes |
Addresses
Primary practice location
357 Blue Danube Dr
Simpsonville, SC 29681-4576
Mailing address
357 Blue Danube Dr
Simpsonville, SC 29681-4576
Phone (856) 701-2353
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All providers in Simpsonville, SC · Mental Health Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.