NPIMap

Organization Active NPI

Freedom Work Counseling and Consulting LLC

  • Mental Health Counselor
  • Muncie, IN
National Provider Identifier
1023639317
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREEDOM WORK COUNSELING AND CONSULTING LLC
Practice address
114 E Washington St
Muncie, IN 47305-1734
Phone
(765) 273-3224
NPI assigned
Apr 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Christina Renee Smith, LMHCNPI 1013980028
Title
Equal Owner
Phone
(765) 273-3224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

114 E Washington St
Muncie, IN 47305-1734

Mailing address

114 E Washington St
Muncie, IN 47305-1734
Phone (765) 273-3224

Other identifiers 1

IdentifierTypeStateIssuer
39001514AOtherINPROFESSIONAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@freedomworkcc.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1023639317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E WASHINGTON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051734",
            "telephone_number": "765-273-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E WASHINGTON ST",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473051734",
            "telephone_number": "765-273-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM WORK COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EQUAL OWNER",
        "authorized_official_telephone_number": "765-273-3224",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "39001514A",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@freedomworkcc.com",
            "affiliation": "N",
            "address_1": "2501 W Woodbridge Dr",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473041064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.