DIANE BERTRAND
NPI 1508363797
Counselor - Professional in Westampton, NJ

Q: What is Diane Bertrand's NPI number?

The NPI number for Diane Bertrand is 1508363797. It was assigned to this individual provider in the NPPES registry on April 12, 2018.

Q: What is Diane Bertrand's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Diane Bertrand was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 12, 2018PECOS EnrolledAccepts Medicare Assignment

770 WOODLANE RD, WESTAMPTON, NJ 08060(609) 267-5928 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Apr 12, 2018 (2 updates tracked since 2018).

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About Diane Bertrand NPPES

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

DIANE BERTRAND (NPI 1508363797) is an individual professional provider in Westampton, New Jersey, licensed in Maryland (LC13369) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1508363797

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameDIANE BERTRAND

Location Address770 WOODLANE RDWestampton, NJ 08060-3804

Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000

Phone(609) 267-5928

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateApril 12, 2018

Last NPPES UpdateJune 10, 20252 updates tracked since enumeration

NPPES CertifiedJune 10, 2025

✔ NPI 1508363797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MD · LC13369

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

770 WOODLANE RD, Westampton, NJ 08060

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Secondary Practice Locations 2

Location 1600 N Wolfe StBaltimore, MD 21287-0005 · Phone (410) 955-5000

Location 26225 Smith Ave Ste B300Baltimore, MD 21209-3613 · Phone (667) 306-9919 · Fax (410) 367-3345

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

Diane Bertrand 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 ID1254870140

PECOS Enrollment IDI20250612002907

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.

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.

ASHLEY CORALLUZZO

Counselor (Mental Health)