Friends of Freedom House Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FRIENDS OF FREEDOM HOUSE INC.

Practice address

404 Lake Front Drive
Russellville, AR 72802

Phone

(479) 968-7086

NPI assigned

Jan 13, 2020

Last updated

Jul 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Garner

Title

Ceo

Phone

(479) 219-5292

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Summer Prado, LPC, LADAC, ICADC

  • Mental Health Counselor
  • Monticello, AR
  • NPI 1972749133

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• Leslie Gene Smith, M.D.

  • Psychiatry Physician
  • Little Rock, AR
  • NPI 1881803203
  Medicare reassignment NPD
• Brian Wade Turnipseed, MS, MFT

  • Marriage & Family Therapist
  • Conway, AR
  • NPI 1437551454
  NPD
• Timothy Ray Hughes, LPE-I, AADC, CS

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1215221734
  NPD (past)

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1316587850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LAKE FRONT DRIVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LAKE FRONT DRIVE",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "72802",
            "telephone_number": "479-968-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDS OF FREEDOM HOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-219-5292"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Freeman, LCSW
• Sarenity Frey
• Gabe Freyaldenhoven, P.T.
• Sarah Jane Frick, MS
• Melissa Friend, HEALTH & WELLNESS CO
• Friendship Community Care
• Friendship Community Care Inc.
• Kathryn Marie Froese, PT
• Corbin Frost
• Rebecca Gabriel

• Mental Health Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.