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LAKE BERRY
NPI 1174045587
Counselor in Brookline, MA

Active since July 07, 2017
41 GARRISON RD, BROOKLINE, MA 02445(617) 277-8107 Get Directions Write a Review

NPPES record last updated: July 7, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lake Berry NPPES

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

LAKE BERRY (NPI 1174045587) is an individual counselor in Brookline, Massachusetts and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1174045587
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameLAKE BERRY
Location Address41 GARRISON RDBrookline, MA 02445-4445
Mailing Address41 Garrison RdBrookline, MA 02445-4445 · (617) 277-8107
Phone(617) 277-8107
Sole ProprietorNo
Enumeration DateJuly 7, 2017
✔ NPI 1174045587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
41 GARRISON RD, Brookline, MA 02445
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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.

JULIANA YOO
Student in an Organized Health Care Education/Training Program
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 277-8107
LIZA WETZEL
Student in an Organized Health Care Education/Training Program
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 277-8107
JEANETTE THEODAT
Counselor
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 277-8107
SARAH WHITALL HOPKINS
Psychologist (Clinical)
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 277-8107
MASON PATENAUDE
Social Worker
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 277-8107
MARIA DIMITRIS DASKALOPOULOS MA
Marriage & Family Therapist
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 277-8107
MEGAN J SMITH LCSW
Social Worker (Clinical)
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 608-7019
LAURA CHRISTINE MARCUCCI
Social Worker (Clinical)
41 GARRISON RD
BROOKLINE, MA 02445
Norfolk County (617) 277-8107

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 Lake Berry's NPI number?

The NPI number for Lake Berry is 1174045587. It was assigned to this individual provider in the NPPES registry on July 7, 2017.

Where is Lake Berry located?

Lake Berry practices at 41 Garrison Rd, Brookline, MA 02445. The listed phone number is (617) 277-8107.

What is Lake Berry's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lake Berry was last updated on July 7, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.