Ruth A Freud, LCSW, PSY.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0904001797 Issued in VA

Practice address

11260 Roger Bacon Dr Ste 204
Reston, VA 20190-5252

Phone

(703) 435-7558

Fax

(571) 446-3988

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1033120951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 ROGER BACON DR STE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905252",
            "telephone_number": "703-435-7558",
            "fax_number": "571-446-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 ROGER BACON DR STE 204",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905252",
            "telephone_number": "703-435-7558",
            "fax_number": "571-446-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREUD",
        "first_name": "RUTH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "LCSW, PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0904001797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89-0436-7",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Major Frazier, PA-C
• Bruce M Freedman, MD
• Jessica Freedman, PA-C, ATC
• Sarah Freeman, LPC
• Sharon Elizabeth Freeman, NP
• Mary Joseph Frickel, CFNP
• Jenna Renee Fried, LPC
• Craig Friedmann
• Jennifer Anne Friend, LCSW
• Frier Behavior Consulting

• Professional Counselor in Reston, VA
• Providers in Reston, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.