Organization Active NPI

Elai Freed LLC

  • Community/Behavioral Health Agency
  • Bowling Green, OH
National Provider Identifier
1073398806
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELAI FREED LLC
Practice address
2111 E Wooster St Ste a
Bowling Green, OH 43402-9083
Phone
(419) 315-5736
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Authorized official

Name
Elai Freed, MA, LPCC
Title
Owner
Phone
(419) 379-1813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2111 E Wooster St Ste a
Bowling Green, OH 43402-9083

Mailing address

2111 E Wooster St Ste a
Bowling Green, OH 43402-9083

National Provider Directory

National Provider Directory

Locations

2111 E Wooster St
#A
Bowling Green, OH 43402
Phone (419) 315-5736

NPI Registry JSON

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742169600000",
    "number": "1073398806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 E WOOSTER ST STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E WOOSTER ST STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029083",
            "telephone_number": "419-315-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELAI FREED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "FREED",
        "authorized_official_first_name": "ELAI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-379-1813",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.