Active NPI
The Freedom Recovery Center LLC
- Community/Behavioral Health Agency
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE FREEDOM RECOVERY CENTER LLC
- Practice address
- 19 Hawthorn St
Dayton, OH 45402-8341 - Phone
- (937) 380-2418
- NPI assigned
- Apr 10, 2020
- Last updated
- Apr 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terry L Hill Jr., M.ED, LPCC-S
- Title
- Executive Director
- Phone
- (937) 380-2418
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
19 Hawthorn St
Dayton, OH 45402-8341
Mailing address
19 Hawthorn St
Dayton, OH 45402-8341
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0155181 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- The Freedom Recovery Center LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1720601636
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Dayton, OH
- NPI 1518100106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1586476800000",
"number": "1053930016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HAWTHORN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454028341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HAWTHORN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454028341",
"telephone_number": "937-380-2418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE FREEDOM RECOVERY CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-10",
"last_updated": "2020-04-10",
"certification_date": "2020-04-10",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "TERRY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "937-380-2418",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.ED, LPCC-S"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0155181",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.