MR. BENJAMIN B FISHBEIN
NPI 1073176731
Counselor - Mental Health in Moncks Corner, SC

Q: What is Benjamin Fishbein's NPI number?

The NPI number for Benjamin Fishbein is 1073176731. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Q: What is Benjamin Fishbein's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Benjamin Fishbein enrolled in Medicare?

No. Benjamin Fishbein has opted out of Medicare through October 8, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Fishbein was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 18, 2019Opted out of Medicare · through Oct 8, 2027

403 STONY LANDING RD, MONCKS CORNER, SC 29461(843) 761-8282(843) 761-7308 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 1, 2021, Apr 18, 2019 (2 updates tracked since 2019).

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About Mr. Benjamin B Fishbein NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BENJAMIN B FISHBEIN (NPI 1073176731) is an individual mental health provider in Moncks Corner, South Carolina and active in the NPI registry since April 2019. He has opted out of Medicare through October 8, 2027.

NPPES Registry Identity

NPI1073176731

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. BENJAMIN B FISHBEIN

Location Address403 STONY LANDING RDMoncks Corner, SC 29461-3967

Mailing Address403 Stony Landing RdMoncks Corner, SC 29461-3967 · (843) 761-8282 · Fax (843) 761-7308

Phone(843) 761-8282

Fax(843) 761-7308

Sole ProprietorNo

Enumeration DateApril 18, 2019

Last NPPES UpdateApril 1, 20212 updates tracked since enumeration

NPPES CertifiedApril 1, 2021

✔ NPI 1073176731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

403 STONY LANDING RD, Moncks Corner, SC 29461

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Other Identifiers 1

Medicaid435201SC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Benjamin B Fishbein has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 8, 2025 through October 8, 2027.

Opt-Out Effective DateOctober 8, 2025

Opt-Out In Effect ThroughOctober 8, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANE R SMITH LMSW

Social Worker