Active NPI
Durelle L Freeman, LMHC
- Mental Health Counselor
- Silver City, NM
National Provider Identifier
1265540652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0085571
- Practice address
- 315 S Hudson
Suite 19
Silver City, NM 88061 - Phone
- (505) 388-4497
- Fax
- (505) 534-1150
- NPI assigned
- Aug 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0085571 | NM | Primary |
Addresses
Primary practice location
315 S Hudson
Suite 19
Silver City, NM 88061
Mailing address
PO Box 1349
Silver City, NM 88062-1349
Phone (505) 388-4497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 77021070 | Medicaid | NM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0085571 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Border Area Mental Health Services, Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Silver City, NM
- NPI 1609886787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265540652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1349",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880621349",
"telephone_number": "505-388-4497",
"fax_number": "505-534-1150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S HUDSON",
"address_2": "SUITE 19",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "88061",
"telephone_number": "505-388-4497",
"fax_number": "505-534-1150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DURELLE",
"middle_name": "L",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "0085571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77021070",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.