Active NPI
Adam Derek Friedman, MS, LMHC
- Mental Health Counselor
- Bourne, MA
National Provider Identifier
1316085673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6174
- Practice address
- 243 Main St
Bourne, MA 02532-3234 - Phone
- (774) 836-3738
- Fax
- (774) 836-3738
- NPI assigned
- Feb 1, 2007
- Last updated
- Jul 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 | 6174 | MA | Primary |
Addresses
Primary practice location
243 Main St
Bourne, MA 02532-3234
Mailing address
243 Main St
Buzzards Bay, MA 02532-3229
Phone (774) 836-3738
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://hushforms.com/adamdfriedman | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective May 2, 2026 through May 2, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6174 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1316085673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 MAIN ST",
"city": "BUZZARDS BAY",
"state": "MA",
"postal_code": "025323229",
"telephone_number": "774-836-3738",
"fax_number": "558-590-1219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 MAIN ST",
"city": "BOURNE",
"state": "MA",
"postal_code": "025323234",
"telephone_number": "774-836-3738",
"fax_number": "774-836-3738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDMAN",
"first_name": "ADAM",
"middle_name": "DEREK",
"name_prefix": "Mr.",
"credential": "MS, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "6174",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://hushforms.com/adamdfriedman",
"affiliation": "N",
"endpointDescription": "PHI upload submitter",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "243 Main St",
"city": "Bourne",
"state": "MA",
"country_code": "US",
"postal_code": "025323234",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bourne, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.