Freedom Fighters Therapy LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

FREEDOM FIGHTERS THERAPY LLC

Practice address

2744 Wallace Lake Rd
Pace, FL 32571

Phone

(850) 889-2880

Fax

(937) 962-6210

NPI assigned

May 23, 2022

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeralyn TharpNPI 1073848750

Title

Officer Manager

Phone

(850) 889-2880

Specialties & licenses 6

Addresses

Tax ID family

Freedom Fighters Therapy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Freedom Fighters Therapy, LLC

  dba Jeralyn R Tharp

  • Mental Health Counselor
  • Huber Heights, OH
  • NPI 1073237343
  NPD tax ID

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.

• Jeralyn Renee Tharp, LPCC-S LICDC

  • Professional Counselor
  • Huber Heights, OH
  • NPI 1073848750

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1083352769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2744 WALLACE LAKE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719172",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2744 WALLACE LAKE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "32571",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 W Wenger Rd Ste S",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "OH",
            "postal_code": "453222755",
            "country_code": "US",
            "telephone_number": "850-889-2880",
            "fax_number": "937-962-6210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM FIGHTERS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-23",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "THARP",
        "authorized_official_first_name": "JERALYN",
        "authorized_official_title_or_position": "OFFICER MANAGER",
        "authorized_official_telephone_number": "850-889-2880"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kennedy Leigh Foote, MS
• Donna Forbes, ARNP
• Kaitlin Vansickle Forshee, D.M.D.
• Courtney Forst
• Kevin Eugene Fraley Jr., LMHC
• Jenna Freeman, COTA/L
• Jennifer Freeman
• Margie Lynn Fretwell, LPN
• Alexis Elizabeth Fudge, RBT
• Joshua Gardner

• Counselor in Pace, FL
• Providers in Pace, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.