MR. PHILIP H. BERNE LISW
NPI 1285664896
Counselor - Mental Health in Cincinnati, OH

NPI Status: Active since July 03, 2006

Contact Information

8000 5 MILE RD
240
CINCINNATI, OH
ZIP 45230
Phone: (513) 232-3070
Fax: (513) 232-5794

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  • Individual
  • Male
  • Counselor
  • Mental Health
  • Accepts Insurance
  • PECOS Enrolled

About PHILIP BERNE

This page provides the complete NPI Profile along with additional information for Philip Berne, a provider established in Cincinnati, Ohio with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1285664896 assigned on July 2006. The practitioner's primary taxonomy code is 101YM0800X with license number I3098 (OH). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1285664896
Provider Name
MR. PHILIP H. BERNE LISW
Gender
Male
Entity Type
Individual
Location Address
8000 5 MILE RD 240 CINCINNATI, OH 45230
Location Phone
(513) 232-3070
Location Fax
(513) 232-5794
Mailing Address
8000 5 MILE RD 240 CINCINNATI, OH 45230
Mailing Phone
(513) 232-3070
Mailing Fax
(513) 232-5794
Is Sole Proprietor?
No
Enumeration Date
07-03-2006
Last Update Date
12-20-2011
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A mental health counselor like Philip Berne provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
I3098
License State
OH

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze $8,300 w/ Adult Dental ON-EX - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1,000 w/ Adult Dental ON-EX - HMO
  • Gold $1,000 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5,000 w/ Adult Dental ON-EX - HMO
  • Silver $5,000 w/ Virtual & Wellness ON-EX - HMO
  • Silver $5,800 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
BESW15012MEDICARE ID-TYPE UNSPECIFIED (04)OH 

Medicare Participation & PECOS Enrollment Status

Philip Berne is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 158 times for 12 patients

Reviews for MR. PHILIP H. BERNE LISW

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1285664896, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 6 + 5 + 1 + 2 + 6 + 8 + 8 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1285664896.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
8000 5 MILE RD, SUITE 310
CINCINNATI, OH 45230
Internal Medicine
8000 5 MILE RD, SUITE 103
CINCINNATI, OH 45230
Counselor (Mental Health)
8000 5 MILE RD, SUITE 240
CINCINNATI, OH 45230
Internal Medicine (Cardiovascular Disease)
8000 5 MILE RD
CINCINNATI, OH 45230
Family Medicine
8000 5 MILE RD, SUITE 210
CINCINNATI, OH 45230
Counselor (Mental Health)
8000 5 MILE RD, 240
CINCINNATI, OH 45230
Psychologist (Clinical)
8000 5 MILE RD, SUITE 215
CINCINNATI, OH 45230
Internal Medicine
8000 5 MILE RD, SUITE 103
CINCINNATI, OH 45230
Internal Medicine (Cardiovascular Disease)
8000 5 MILE RD, SUITE 102
CINCINNATI, OH 45230
Pain Medicine (Interventional Pain Medicine)
8000 5 MILE RD, SUITE 335
CINCINNATI, OH 45230
Internal Medicine (Hematology)
8000 5 MILE RD
CINCINNATI, OH 45230
Internal Medicine (Hematology & Oncology)
8000 5 MILE RD, #100
CINCINNATI, OH 45230
Internal Medicine (Medical Oncology)
8000 5 MILE RD, STE 100
CINCINNATI, OH 45230
Nurse Practitioner (Family)
8000 5 MILE RD, STE 305
CINCINNATI, OH 45230
Physical Medicine & Rehabilitation
8000 5 MILE RD, SUITE 340
CINCINNATI, OH 45230
Obstetrics & Gynecology
8000 5 MILE RD
CINCINNATI, OH 45230
Obstetrics & Gynecology
8000 5 MILE RD, SUITE 207
CINCINNATI, OH 45230
Advanced Practice Midwife
8000 5 MILE RD
CINCINNATI, OH 45230
Obstetrics & Gynecology
8000 5 MILE RD
CINCINNATI, OH 45230
Student in an Organized Health Care Education/Training Program
8000 5 MILE RD
CINCINNATI, OH 45230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285664896, enumerated as an "individual" on July 03, 2006.

The provider is located at 8000 5 MILE RD 240 CINCINNATI, OH 45230 and the phone number is (513) 232-3070.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: MedMutual, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.