NPIMap

Organization Active NPI

Free Yourself Counseling Services

  • Mental Health Counselor
  • Muncie, IN
National Provider Identifier
1255755013
Registry record updated Feb 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
39001560A Issued in IN
Legal business name
FREE YOURSELF COUNSELING SERVICES
Practice address
5304 N Bayon Dr
Muncie, IN 47304-5751
Phone
(765) 760-3955
Fax
(765) 273-7313
NPI assigned
Feb 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2014

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

Authorized official

Name
Mrs. Kimberly Brown, M.A., LMHCNPI 1164500641
Title
Owner
Phone
(765) 760-3955

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 39001560A IN Primary

Addresses

Primary practice location

5304 N Bayon Dr
Muncie, IN 47304-5751

Mailing address

5304 N Bayon Dr
Muncie, IN 47304-5751
Phone (765) 760-3955

National Provider Directory

National Provider Directory

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": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393286400000",
    "number": "1255755013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 N BAYON DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045751",
            "telephone_number": "765-760-3955",
            "fax_number": "765-273-7313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 N BAYON DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045751",
            "telephone_number": "765-760-3955",
            "fax_number": "765-273-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE YOURSELF COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-02-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-760-3955",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39001560A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.