BERNARD RICHARD TEDESCO LPC
NPI 1184003238
Counselor - Professional in Myrtle Beach, SC

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment
608 16TH AVE N STE G, MYRTLE BEACH, SC 29577(843) 501-1099 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2023, Feb 22, 2023 (2 updates tracked since 2023).

About Bernard Richard Tedesco Lpc NPPES

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

BERNARD RICHARD TEDESCO LPC (NPI 1184003238) is an individual professional provider in Myrtle Beach, South Carolina, licensed in South Carolina (8185) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184003238
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBERNARD RICHARD TEDESCOCredential: LPC
Location Address608 16TH AVE N STE GMyrtle Beach, SC 29577-3537
Mailing Address3922 Glenmere DrMyrtle Beach, SC 29588-6769 · (508) 965-4644 · Fax (436) 668-2468
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 22, 2015
Last NPPES UpdateMarch 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1184003238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in SC · 8185
608 16TH AVE N STE G, Myrtle Beach, SC 29577

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Bernard Richard Tedesco Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507204922
PECOS Enrollment IDI20240404001877
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
13 services13 patients

Other Providers at the Same Location NPPES 11

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

Counselor (Professional)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577
Nurse Practitioner (Psychiatric/Mental Health)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577
Social Worker (Clinical)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577
Counselor (Mental Health)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577
Social Worker (Clinical)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577
Social Worker (Clinical)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577
Psychiatry & Neurology (Psychiatry)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577
Nurse Practitioner (Psychiatric/Mental Health)
608 16TH AVE N STE G
MYRTLE BEACH, SC 29577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernard Tedesco's NPI number?

The NPI number for Bernard Tedesco is 1184003238. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Bernard Tedesco located?

Bernard Tedesco practices at 608 16th Ave N Ste G, Myrtle Beach, SC 29577. The listed phone number is (843) 501-1099.

What is Bernard Tedesco's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Bernard Tedesco enrolled in Medicare?

Yes. Bernard Tedesco is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Bernard Tedesco accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Blue Cross and Blue Shield of Texas, BlueCross BlueShield of South Carolina and UnitedHealthcare list Bernard Tedesco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bernard Tedesco was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.