NPIMap

Organization Active NPI

Freedom Counseling Services, LLC

  • Mental Health Counselor
  • Elkhart, IN
National Provider Identifier
1255085205
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREEDOM COUNSELING SERVICES, LLC
Practice address
240 Waterfall Dr
Elkhart, IN 46516-3668
Phone
(574) 404-8800
Fax
(574) 404-8889
NPI assigned
Feb 8, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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

Authorized official

Name
Keilah Hamood, LMHCNPI 1821593989
Title
Owner/Supervisor
Phone
(574) 404-8800

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

240 Waterfall Dr
Elkhart, IN 46516-3668

Mailing address

240 Waterfall Dr
Elkhart, IN 46516-3668
Phone (574) 404-8800

Other practice location 1

222 S Frances St
South Bend, IN 46617-3004
Phone (574) 404-8800

National Provider Directory

National Provider Directory

Locations

240 Waterfall Dr
Elkhart, IN 46516
Phone (574) 222-6514

Practitioners & affiliated clinicians

Practitioners 3

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": "1644278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1255085205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 WATERFALL DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163668",
            "telephone_number": "574-404-8800",
            "fax_number": "574-404-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WATERFALL DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163668",
            "telephone_number": "574-404-8800",
            "fax_number": "574-404-8889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 S Frances St",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466173004",
            "country_code": "US",
            "telephone_number": "574-404-8800",
            "fax_number": "574-404-8889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-08",
        "last_updated": "2022-02-08",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "HAMOOD",
        "authorized_official_first_name": "KEILAH",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR",
        "authorized_official_telephone_number": "574-404-8800",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.