Organization Active NPI

Free Spirit Counseling LLC

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1275153330
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
FREE SPIRIT COUNSELING LLC
Practice address
612 E Colonial Dr Ste 390
Orlando, FL 32803-4650
Phone
(858) 255-4380
Fax
(409) 209-0289
NPI assigned
Apr 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dorrit Ram, LCSWNPI 1083045017
Title
Owner
Phone
(858) 255-4380

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

612 E Colonial Dr Ste 390
Orlando, FL 32803-4650

Mailing address

7252 Lake Floy Cir
Orlando, FL 32819-7427
Phone (607) 229-8788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200527001409 FL Part B Supplier - Clinic/Group Practice 0345661419 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

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": "1587254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1275153330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 LAKE FLOY CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197427",
            "telephone_number": "607-229-8788",
            "fax_number": "407-209-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E COLONIAL DR STE 390",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034650",
            "telephone_number": "858-255-4380",
            "fax_number": "409-209-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE SPIRIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-19",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "RAM",
        "authorized_official_first_name": "DORRIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-255-4380",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.