NPIMap

Organization Active NPI

Be Free Counseling

  • Clinical Social Worker
  • Clearfield, PA
National Provider Identifier
1083080840
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW017206 Issued in PA
Legal business name
BE FREE COUNSELING
Practice address
1229 S 2ND St
Clearfield, PA 16830-3305
Phone
(814) 765-1045
Fax
(814) 765-8489
NPI assigned
Aug 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Daisi Marie EyerlyNPI 1841598265
Title
Owner
Phone
(814) 765-1045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X CW017206 PA Primary

Addresses

Primary practice location

1229 S 2ND St
Clearfield, PA 16830-3305

Mailing address

1229 S 2ND St
Clearfield, PA 16830-3305
Phone (814) 765-1045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160421001698 PA Part B Supplier - Clinic/Group Practice 3971802166 Receives reassigned benefits from 3 practitioners
Practice locations: Clearfield, PA

National Provider Directory

National Provider Directory

Locations

118 E Market St
Clearfield, PA 16830
Phone (814) 594-1077

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1083080840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 S 2ND ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303305",
            "telephone_number": "814-765-1045",
            "fax_number": "814-765-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 S 2ND ST",
            "city": "CLEARFIELD",
            "state": "PA",
            "postal_code": "168303305",
            "telephone_number": "814-765-1045",
            "fax_number": "814-765-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE FREE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "EYERLY",
        "authorized_official_first_name": "DAISI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-765-1045"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW017206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearfield, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.