Michael Freeman, F1112101309 RAS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

F1112101309 RAS Issued in CA

Practice address

443 E 1St St
Long Beach, CA 90802-4905

Phone

(562) 432-4033

NPI assigned

Nov 9, 2015

Last updated

Nov 9, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1447027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447027200000",
    "number": "1144693409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 E 1ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024905",
            "telephone_number": "562-432-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 E 1ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024905",
            "telephone_number": "562-432-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MICHAEL",
        "credential": "F1112101309 RAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "F1112101309 RAS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl D Freeman, MA
• Erainia Freeman, ED.D
• Kenneth Dsniel Freeman
• Marcia Freeman
• Marcus Freeman, LCSW
• Rosario Freeman
• Claudia Lynn Fregoso
• Isabel Fregoso
• Scott Anthony Frentsos
• Fresenius Medical Care Long Beach, LLC (Bio-Medical Long Beach Community Hemodialysis Unit)

• Addiction (Substance Use Disorder) Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; 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.