Individual provider Active NPI

Freeda M Mitchell, LMFT

  • Marriage & Family Therapist
  • Lewisville, TX
National Provider Identifier
1295923365
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202720 Issued in TX
Practice address
405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183
Phone
(414) 326-7880
Fax
(214) 975-2255
NPI assigned
Oct 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 778-124 WI
Marriage & Family Therapist 106H00000X 202720 TX Primary
Marriage & Family Therapist 106H00000X T1719 OR

Addresses

Primary practice location

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183

Mailing address

405 State Highway 121 Byp Ste A250
Lewisville, TX 75067-4183
Phone (214) 790-7736

Other identifiers 1

IdentifierTypeStateIssuer
43727800MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ADMINISTRATION@ASPIREIFS.COM Direct

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

LicenseStateTypeSpecialty
T1719ORMDMarriage & Family Therapist
202720TXMDMarriage & Family Therapist
778-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Individual & Family Services Current Accepting new patients

Locations

405 State Highway 121 Byp
Ste A250
Lewisville, TX 75067
Phone (940) 784-3310

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.

NPI Registry JSON

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

{
    "created_epoch": "1192233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1295923365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "214-790-7736",
            "fax_number": "214-975-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STATE HIGHWAY 121 BYP STE A250",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674183",
            "telephone_number": "414-326-7880",
            "fax_number": "214-975-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "FREEDA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-13",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "778-124",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202720",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1719",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43727800",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ADMINISTRATION@ASPIREIFS.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "405 State Highway 121 Byp Ste A250",
            "city": "Lewisville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750674183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.