Active NPI
Denise Freeman, M.F.T.
- Mental Health Counselor
- Santa Rosa, CA
National Provider Identifier
1336269273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT35744
- Practice address
- 659 Cherry St
Suite 103
Santa Rosa, CA 95404-4202 - Phone
- (707) 573-3868
- NPI assigned
- Mar 31, 2007
- Sex
- Female
- 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 | MFT35744 | CA | Primary |
Addresses
Primary practice location
659 Cherry St
Suite 103
Santa Rosa, CA 95404-4202
Mailing address
659 Cherry St
Suite 103
Santa Rosa, CA 95404-4202
Phone (707) 573-3868
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 |
|---|---|---|---|
| MFT35744 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1336269273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "659 CHERRY ST",
"address_2": "SUITE 103",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044202",
"telephone_number": "707-573-3868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "659 CHERRY ST",
"address_2": "SUITE 103",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044202",
"telephone_number": "707-573-3868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "DENISE",
"credential": "M.F.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-31",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFT35744",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.