Individual provider Active NPI

Conrad Johnson Freiburg, MA, LCMHCA

  • Mental Health Counselor
  • Hendersonville, NC
National Provider Identifier
1003611971
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21055 Issued in NC
Practice address
1915 George St
Hendersonville, NC 28792-2948
Phone
(828) 222-0401
NPI assigned
Feb 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21055 NC Primary

Addresses

Primary practice location

1915 George St
Hendersonville, NC 28792-2948

Mailing address

1915 George St
Hendersonville, NC 28792-2948
Phone (828) 622-5046

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A21055NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1003611971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 GEORGE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922948",
            "telephone_number": "828-622-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 GEORGE ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287922948",
            "telephone_number": "828-222-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIBURG",
        "first_name": "CONRAD",
        "middle_name": "JOHNSON",
        "credential": "MA, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.