Individual provider Active NPI

Norine Freedman, M.A. , L.C.P.C.

  • Professional Counselor
  • Deerfield, IL
National Provider Identifier
1104998178
Registry record updated May 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-001653 Issued in IL
Practice address
929 Fountain View Dr
Deerfield, IL 60015-4860
Phone
(847) 291-1900
Fax
(847) 267-8383
NPI assigned
Nov 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180-001653 IL Primary

Addresses

Primary practice location

929 Fountain View Dr
Deerfield, IL 60015-4860

Mailing address

929 Fountain View Dr
Deerfield, IL 60015-4860
Phone (847) 267-8282

Other identifiers 1

IdentifierTypeStateIssuer
0001622485OtherILBCBSIL

Other names 1

  • Nicky Freedman Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
180-001653ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Marvin H Margolis MD SC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211760000000",
    "number": "1104998178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 FOUNTAIN VIEW DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154860",
            "telephone_number": "847-267-8282",
            "fax_number": "847-267-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 FOUNTAIN VIEW DR",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154860",
            "telephone_number": "847-291-1900",
            "fax_number": "847-267-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "NORINE",
        "credential": "M.A. , L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "0001622485",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICKY",
            "last_name": "FREEDMAN",
            "credential": "M.A. , L.C.P.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2008; 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.