MEDICARE: MR. BENJAMIN FREY LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LC13420	MD
2	101YM0800X	Mental Health Counselor	LGP11005	MD

General Provider Information

NPI Number	:	1790375707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BENJAMIN FREY LCPC

Provider Business Mailing Address
First Line	:	401 CORMORANT PL APT 3202
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21701-1972
Country	:	US
Telephone Number	:	240-205-6213
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 CORMORANT PL APT 3202
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21701-1972
Country	:	US
Telephone Number	:	202-796-8655
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2021
Last Update Date	:	02/03/2026

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