1. Home
  2. Directory
  3. Pennsylvania
  4. Ephrata
  5. Counselor
  6. NPI Profile

MICHAEL BERTOLINO
NPI 1861006058
Counselor - Professional in Ephrata, PA

Active since September 03, 2020PECOS EnrolledAccepts Medicare Assignment
1170 S STATE ST, EPHRATA, PA 17522(717) 859-8000 Get Directions Write a Review

NPPES record last updated: September 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Bertolino NPPES

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

MICHAEL BERTOLINO (NPI 1861006058) is an individual professional provider in Ephrata, Pennsylvania, licensed in Pennsylvania (PC011866) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1861006058
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL BERTOLINO
Location Address1170 S STATE STEphrata, PA 17522-2601
Mailing Address1170 S State StEphrata, PA 17522-2601 · (717) 859-8000
Phone(717) 859-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 3, 2020
Last NPPES UpdateSeptember 4, 2020
NPPES CertifiedSeptember 4, 2020
✔ NPI 1861006058 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 PA · PC011866
1170 S STATE ST, Ephrata, PA 17522
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Bertolino 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 ID6204279466
PECOS Enrollment IDI20240205004230
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 Reassignment

Medicare enrollment records show Michael Bertolino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Services Group, Inc.
14 mi
Community/Behavioral Health
320 HIGHLAND DR
Mountville, PA 17554
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 64 clinicians in this Medicare group
NPI 1265426084 (717) 285-7121

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

Other Providers at the Same Location NPPES 15

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

DR. FRANK ALFRED DELIA D. O.
Family Medicine
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (717) 859-8000
LINDSEY KATHRYN RICHARDS MA, LPC, CAADC
Counselor (Professional)
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (717) 859-8000
KYLEE ANN METZ MS, CAADC, CCTP
Counselor (Addiction (Substance Use Disorder))
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (717) 859-8000
RETREAT AT LANCASTER COUNTY
Substance Abuse Rehabilitation Facility
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (717) 859-8000
DR. TIMOTHY G CALVIN PSYD, CAADC
Psychologist (Clinical)
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (717) 859-8000
ALAN E TROBMAN LPC
Counselor (Professional)
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (717) 859-8000
BROOKE ANNA SWINEHART MSW, LSW
Substance Abuse Rehabilitation Facility
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (717) 859-8000
LAUREN E MCCLAIN BSL
Counselor (Addiction (Substance Use Disorder))
1170 S STATE ST
EPHRATA, PA 17522
Lancaster County (484) 645-5115

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 Michael Bertolino's NPI number?

The NPI number for Michael Bertolino is 1861006058. It was assigned to this individual provider in the NPPES registry on September 3, 2020.

Where is Michael Bertolino located?

Michael Bertolino practices at 1170 S State St, Ephrata, PA 17522. The listed phone number is (717) 859-8000.

What is Michael Bertolino's specialty?

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

Is Michael Bertolino enrolled in Medicare?

Yes. Michael Bertolino 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.

Which organization bills Medicare for Michael Bertolino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Bertolino reassigns Medicare benefits to Community Services Group, Inc. (Mountville, PA). The 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 Michael Bertolino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Bertolino was last updated on September 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.