Individual provider Active NPI

Adam Derek Friedman, MS, LMHC

  • Mental Health Counselor
  • Bourne, MA
National Provider Identifier
1316085673
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6174 Issued in MA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
6174MAMDOccupational 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

Verify at the official NPI Registry.