Individual provider Active NPI

Olivia Berardinelli

  • Mental Health Counselor
  • Danvers, MA
National Provider Identifier
1831824820
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC10004120 Issued in MA
Practice address
125 Liberty St Ste 2
Danvers, MA 01923-3325
Phone
(978) 750-6828
Fax
(978) 750-6684
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 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 LMHC10004120 MA Primary

Addresses

Primary practice location

125 Liberty St Ste 2
Danvers, MA 01923-3325

Mailing address

125 Liberty St Ste 2
Danvers, MA 01923-3325
Phone (978) 750-6828

Other names 1

  • Olivia Bertolino Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250731002908 MA Practitioner - Mental Health Counselor 8224546320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bridgewell, IncGroup PAC ID 6507833985, 39 clinicians

Practice addresses (Care Compare)

35 Market St
Suite 2
Lowell, MA 01852-6246
Phone (978) 459-0389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewell, Inc CurrentSince May 24, 2025 Accepting new patients

Locations

125 Liberty St
Ste 2
Danvers, MA 01923
Phone (978) 750-6820

35 Market St
Ste 2
Lowell, MA 01852
Phone (978) 459-0389

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1831824820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233325",
            "telephone_number": "978-750-6828",
            "fax_number": "978-750-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233325",
            "telephone_number": "978-750-6828",
            "fax_number": "978-750-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERARDINELLI",
        "first_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10004120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "BERTOLINO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.