Beverly Addison, MHC-LP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P127818 Issued in NY

Practice address

459 Columbus Ave
New York, NY 10024-5129

Phone

(917) 796-0106

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1144065939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245129",
            "telephone_number": "917-796-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100245129",
            "telephone_number": "917-796-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADDISON",
        "first_name": "BEVERLY",
        "credential": "MHC-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P127818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay A Addae, PTA
• Addict Rehabilitation Center Fund Inc
• Addiction Research and Treatment Corporation
• Addiction Research TX. Corp
• Addicts Rehabilitation Center Fund Inc.
• Meagen Addison
• Nancy Elizabeth Addison, RD, CDN, CDCES
• Tessa Addison, LCSW
• Victoria Addo-Donkor
• Evelyn Addo-Wallace, NP

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.