Individual provider Active NPI

Benjamin Belletieri, MS, LPC, CAADC

  • Counselor
  • Philadelphia, PA
National Provider Identifier
1609799089
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC017827 Issued in PA
Practice address
423 N Preston St Apt 1
Philadelphia, PA 19104-5565
Phone
(570) 578-9571
NPI assigned
Aug 3, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC017827 PA Primary

Addresses

Primary practice location

423 N Preston St Apt 1
Philadelphia, PA 19104-5565

Mailing address

423 N Preston St Apt 1
Philadelphia, PA 19104-5565

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

NPI Registry JSON

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

{
    "created_epoch": "1785715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1609799089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 N PRESTON ST APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N PRESTON ST APT 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045565",
            "telephone_number": "570-578-9571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLETIERI",
        "first_name": "BENJAMIN",
        "credential": "MS, LPC, CAADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-03",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC017827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.