1. Home
  2. Directory
  3. Maryland
  4. Laurel
  5. Counselor
  6. NPI Profile

DR. ADDIS BEREK LGPC
NPI 1104576008
Counselor - Professional in Laurel, MD

Active since March 24, 2022
13915 SHANNON AVE, LAUREL, MD 20707(301) 435-5221 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Addis Berek Lgpc NPPES

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

DR. ADDIS BEREK LGPC (NPI 1104576008) is an individual professional provider in Laurel, Maryland, licensed in Maryland (LGP11836) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1104576008
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. ADDIS BEREKCredential: LGPC
Location Address13915 SHANNON AVELaurel, MD 20707-5829
Mailing Address13915 Shannon AveLaurel, MD 20707-5829 · (301) 435-5221
Phone(301) 435-5221
Sole ProprietorYes
Enumeration DateMarch 24, 2022
NPPES CertifiedMarch 24, 2022
✔ NPI 1104576008 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 MD · LGP11836
13915 SHANNON AVE, Laurel, MD 20707
Open in Google Maps ↗

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 Addis Berek's NPI number?

The NPI number for Addis Berek is 1104576008. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Addis Berek located?

Addis Berek practices at 13915 Shannon Ave, Laurel, MD 20707. The listed phone number is (301) 435-5221.

What is Addis Berek's specialty?

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

When was this NPI record last updated?

The NPPES record for Addis Berek was last updated on March 24, 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.