Freedom Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FREEDOM THERAPY LLC

Practice address

1240 W Ranchito LN
Mequon, WI 53092-6089

Phone

(414) 429-5792

NPI assigned

Oct 4, 2015

Last updated

Oct 4, 2015By 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

Mr. Joel Scott Winston, LCSW, MSSW

Title

Psychotherapist/Owner

Phone

(414) 429-5792

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443916800000",
    "number": "1174993034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 W RANCHITO LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 W RANCHITO LN",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530926089",
            "telephone_number": "414-429-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2015-10-04",
        "status": "A",
        "authorized_official_last_name": "WINSTON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "414-429-5792",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, MSSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mequon, WI
• Providers in Mequon, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.