Individual provider Active NPI

Gabrielle Ann Bereski, MA, LPC, LCADC

  • Mental Health Counselor
  • Spring Lake, NJ
National Provider Identifier
1871163683
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00775400 Issued in NJ
Practice address
41 Wyckham Rd
Spring Lake, NJ 07762-2255
Phone
(973) 896-2469
NPI assigned
Jun 25, 2021
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00333500 NJ
Mental Health Counselor 101YM0800X 37PC00775400 NJ Primary

Addresses

Primary practice location

41 Wyckham Rd
Spring Lake, NJ 07762-2255

Mailing address

41 Wyckham Rd
Spring Lake, NJ 07762-2255
Phone (973) 896-2469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240319001254 NJ Practitioner - Mental Health Counselor 0648617266 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37LC00333500NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Connections Counseling LLC Mental Health CurrentSince Mar 4, 2024 Accepting new patients

Locations

6-8 Gates Ave
Ste 3B
Montclair, NJ 07042
Phone (973) 604-6881

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": "1624579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1871163683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WYCKHAM RD",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622255",
            "telephone_number": "973-896-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WYCKHAM RD",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622255",
            "telephone_number": "973-896-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERESKI",
        "first_name": "GABRIELLE",
        "middle_name": "ANN",
        "credential": "MA, LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00333500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00775400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NJ

Sources for this page

Verify at the official NPI Registry.