Active NPI
Freeda M Mitchell, LMFT
- Marriage & Family Therapist
- Lewisville, TX
National Provider Identifier
1295923365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 202720
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43727800 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| T1719 | OR | MD | Marriage & Family Therapist |
| 202720 | TX | MD | Marriage & Family Therapist |
| 778-124 | WI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Lewisville, TX
- NPI 1235870189
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.