Individual provider Active NPI

Julie Rife-Freese, PSY.D.

  • Counselor
  • Elkton, MD
National Provider Identifier
1215119607
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
2707 Pebble Beach Dr
Elkton, MD 21921-6479
Phone
(410) 398-7713
NPI assigned
Nov 28, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

2707 Pebble Beach Dr
Elkton, MD 21921-6479

Mailing address

2707 Pebble Beach Dr
Elkton, MD 21921-6479
Phone (410) 398-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04503MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1215119607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 PEBBLE BEACH DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216479",
            "telephone_number": "410-398-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 PEBBLE BEACH DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219216479",
            "telephone_number": "410-398-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIFE-FREESE",
        "first_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.