Organization Active NPI

Freedom Within, LLC

  • Mental Health Counselor
  • Covington, LA
National Provider Identifier
1154736312
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREEDOM WITHIN, LLC
Practice address
90 Louis Prima Dr Ste a
Covington, LA 70433-5958
Phone
(360) 742-7187
Fax
(985) 898-5898
NPI assigned
Jun 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Michael Wayne Tassin, LMFTNPI 1740587930
Title
Owner/ Therapist
Phone
(360) 742-7187

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

90 Louis Prima Dr Ste a
Covington, LA 70433-5958

Mailing address

90 Louis Prima Dr Ste a
Covington, LA 70433-5958
Phone (360) 742-7187

Other practice location 1

418 Carpenter Rd SE
Suite 101
Lacey, WA 98503-7905
Phone (360) 742-7187

National Provider Directory

National Provider Directory

Locations

90 Louis Prima Dr
Ste A
Covington, LA 70433
Phone (360) 742-7187

418 Carpenter Rd SE
Ste 101
Olympia, WA 98503
Phone (360) 742-7187

Practitioners & affiliated clinicians

Practitioners 1

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": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1154736312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LOUIS PRIMA DR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335958",
            "telephone_number": "360-742-7187",
            "fax_number": "985-898-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 LOUIS PRIMA DR STE A",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704335958",
            "telephone_number": "360-742-7187",
            "fax_number": "985-898-5898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "418 Carpenter Rd SE",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Lacey",
            "state": "WA",
            "postal_code": "985037905",
            "country_code": "US",
            "telephone_number": "360-742-7187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM WITHIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "TASSIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "360-742-7187",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.