Active NPI
Christina Minervini-Bertin
- Mental Health Counselor
- Kings Park, NY
National Provider Identifier
1649929340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 007885-01
- Practice address
- 1 Village PLZ Ste 204
Kings Park, NY 11754-2737 - Phone
- (631) 213-6582
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 007885-01 | NY | Primary |
Addresses
Primary practice location
1 Village PLZ Ste 204
Kings Park, NY 11754-2737
Mailing address
1 Village PLZ Ste 204
Kings Park, NY 11754-2737
Phone (631) 213-6582
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007885-01 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1649929340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 VILLAGE PLZ STE 204",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117542737",
"telephone_number": "631-213-6582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 VILLAGE PLZ STE 204",
"city": "KINGS PARK",
"state": "NY",
"postal_code": "117542737",
"telephone_number": "631-213-6582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINERVINI-BERTIN",
"first_name": "CHRISTINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "007885-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.