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MR. BEN BERNSTEIN LCSW
NPI 1194156422
Social Worker - Clinical in Champaign, IL

Active since December 12, 2013PECOS Enrolled
1813 W KIRBY AVE STE 120, CHAMPAIGN, IL 61821(217) 383-1850(217) 383-3439 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 20, 2017, Dec 23, 2015 (3 updates tracked since 2015).

About Mr. Ben Bernstein Lcsw NPPES

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

MR. BEN BERNSTEIN LCSW (NPI 1194156422) is an individual clinical provider in Champaign, Illinois, licensed in Illinois (149018152) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194156422
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BEN BERNSTEINCredential: LCSW
Location Address1813 W KIRBY AVE STE 120Champaign, IL 61821-5410
Mailing Address611 W Park StUrbana, IL 61801-2529 · (217) 383-6941
Phone(217) 383-1850
Fax(217) 383-3439
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 12, 2013
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1194156422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149018152
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1813 W KIRBY AVE STE 120, Champaign, IL 61821
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ben Bernstein Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678878279
PECOS Enrollment IDI20160219000013
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Ben Bernstein reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Champaign Counseling LLC
2.0 mi
Clinical
7 DUNLAP CT
Savoy, IL 61874
  • Reassigned Medicare billing, Illinois enrollment
  • 10 clinicians in this Medicare group
NPI 1770938359 (217) 203-2008
Carle Health Medical Group
3.6 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300
Dulski Counseling, LLC
4.1 mi
Mental Health
3362 BIG PINE TRL STE A
Champaign, IL 61822
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1902777659 (217) 383-0151

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61821 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

LAUREN KAMPWIRTH LCSW
Social Worker (Clinical)
1813 W KIRBY AVE STE 120
CHAMPAIGN, IL 61821
Champaign County (217) 383-1850
MEDICAL SERVICE COMPANY
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
1813 W KIRBY AVE STE 120
CHAMPAIGN, IL 61821
Champaign County (217) 383-3487

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 Ben Bernstein's NPI number?

The NPI number for Ben Bernstein is 1194156422. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Ben Bernstein located?

Ben Bernstein practices at 1813 W Kirby Ave Ste 120, Champaign, IL 61821. The listed phone number is (217) 383-1850.

What is Ben Bernstein's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ben Bernstein enrolled in Medicare?

Yes. Ben Bernstein is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ben Bernstein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ben Bernstein reassigns Medicare benefits to 3 organizations: Champaign Counseling LLC (Savoy, IL), Carle Health Medical Group (Urbana, IL) and Dulski Counseling, LLC (Champaign, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ben Bernstein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ben Bernstein accept?

Health plans from Oscar Health list Ben Bernstein 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 Ben Bernstein was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.