Jacquelin Zoe Freeman, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1039 Garden St
East Palo Alto, CA 94303-1748

Phone

(650) 609-1667

NPI assigned

Mar 25, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1043060866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CATALPA ST APT 5",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012854",
            "telephone_number": "650-732-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 GARDEN ST",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031748",
            "telephone_number": "650-609-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JACQUELIN",
        "middle_name": "ZOE",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica L Espinoza Osuna, RN
• Sisilia Fifita
• Karla Jeannete Fraser, MSW
• Free at Last Center
• Free at Last:Community Recovery and Rehabilitation Services
• Alyse Gabriel, D.O.
• Varsha S Gadgil
• Jenny Galindo-Correa, RN
• Nicole Gallegos, RN
• Leticia Garcia, RN

• Mental Health Counselor in East Palo Alto, CA
• Providers in East Palo Alto, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.