Fourth Trimester Wellness Journey'S

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FOURTH TRIMESTER WELLNESS JOURNEY'S

Practice address

11 Municipal Dr Ste 200
Fishers, IN 46038-1634

Phone

(463) 215-7577

NPI assigned

Apr 22, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kenelle Corine Freeman, DNP, PMHNP-BC,LCSWNPI 1497044390

Title

Owner/Provider

Phone

(463) 215-7577

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kenelle Corine Freeman, DNP, PMHNP-BC, LCSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishers, IN
  • NPI 1497044390
  NPD Authorized official

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1033906219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 OLIO RD STE 1000-256",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460377619",
            "telephone_number": "463-215-7577",
            "fax_number": "463-583-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DR STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381634",
            "telephone_number": "463-215-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOURTH TRIMESTER WELLNESS JOURNEY'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KENELLE",
        "authorized_official_middle_name": "CORINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "463-215-7577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, PMHNP-BC,LCSW"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Fishers, IN
• Providers in Fishers, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.