Michele Marie Freeman, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C3830 Issued in OR

Practice address

354 NE Greenwood Ave Ste 207
Bend, OR 97701-4632

Phone

(541) 408-4943

Fax

(541) 318-6282

NPI assigned

Nov 4, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1255760815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2457 NE RAVENWOOD DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013761",
            "telephone_number": "541-408-4943",
            "fax_number": "541-318-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NE GREENWOOD AVE STE 207",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014632",
            "telephone_number": "541-408-4943",
            "fax_number": "541-318-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MICHELE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C3830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500691134",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica House Fredeen, PA-C
• David A. Fredstrom, M.D.
• Fantasia Freedom, LMT
• Jamie Janelle Freeman, PAC
• Kyle Fredrik Freeman, LCSW
• Paul Thomas Freeman, PT
• Phillippe C Freeman, DMD, FAGD
• Gary John Frei, M.D.
• Brolen Freimanis, DDS
• Jessica Frenkel

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.