Active NPI
Beriel Shafeek, MA LSW LICDC
- Addiction (Substance Use Disorder) Counselor
- Dayton, OH
National Provider Identifier
1376520429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 943836
- Practice address
- 1320 Woodman Dr
Suite 200
Dayton, OH 45432-3497 - Phone
- (937) 223-1781
- Fax
- (937) 853-0096
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 943836 | OH | Primary |
| Clinical Social Worker | 1041C0700X | S 0020306 | OH |
Addresses
Primary practice location
1320 Woodman Dr
Suite 200
Dayton, OH 45432-3497
Mailing address
1320 Woodman Dr
Suite 200
Dayton, OH 45432-3497
Phone (937) 223-1781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2272231 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 943836 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| S 0020306 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Therapeutic Services Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1598746265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376520429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 WOODMAN DR",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323497",
"telephone_number": "937-223-1781",
"fax_number": "937-853-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 WOODMAN DR",
"address_2": "SUITE 200",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323497",
"telephone_number": "937-223-1781",
"fax_number": "937-853-0096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFEEK",
"first_name": "BERIEL",
"name_prefix": "Mrs.",
"credential": "MA LSW LICDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "943836",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "S 0020306",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2272231",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.