Active NPI
Tieleen Francine Freeman
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1346435278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7515 N Westanna Ave Apt 2
Portland, OR 97203-2679 - Phone
- (503) 737-0306
- NPI assigned
- Sep 13, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | 101YA0400X | OR |
Addresses
Primary practice location
7515 N Westanna Ave Apt 2
Portland, OR 97203-2679
Mailing address
7515 N Westanna Ave Apt 2
Portland, OR 97203-2679
Phone (503) 737-0306
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 |
|---|---|---|---|
| 101YA0400X | OR | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1346435278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 N WESTANNA AVE APT 2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972032679",
"telephone_number": "503-737-0306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7515 N WESTANNA AVE APT 2",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972032679",
"telephone_number": "503-737-0306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "TIELEEN",
"middle_name": "FRANCINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OR",
"license": "101YA0400X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.