Individual provider Active NPI

Lydia Gribi

  • Counselor
  • Olney, MD
National Provider Identifier
1639948755
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
17904 Georgia Ave Ste 200
Olney, MD 20832-2277
Phone
(240) 304-3327
NPI assigned
Dec 29, 2023
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

17904 Georgia Ave Ste 200
Olney, MD 20832-2277

Mailing address

7474 Greenway Center Dr Ste 202
Greenbelt, MD 20770-3596
Phone (240) 304-3327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260604000352 MD Practitioner - Mental Health Counselor 2668943325 Reassigns benefits to 1 organization
I20260604000407 DC Practitioner - Mental Health Counselor 2668943325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Pittsburgh, PA 15251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1639948755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 GREENWAY CENTER DR STE 202",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703596",
            "telephone_number": "240-304-3327",
            "fax_number": "410-609-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 GEORGIA AVE STE 200",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208322277",
            "telephone_number": "240-304-3327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIBI",
        "first_name": "LYDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olney, MD

Sources for this page

Verify at the official NPI Registry.