Individual provider Active NPI

Mark Stanley Freeman, LMHC LMFT NCC ACS

  • Marriage & Family Therapist
  • Winter Park, FL
National Provider Identifier
1346494630
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT# 1953 Issued in FL
Practice address
2180 N Park Ave
Suite 320
Winter Park, FL 32789-2359
Phone
(407) 620-8096
NPI assigned
Nov 13, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LMHC 2649 FL
Mental Health Counselor 101YM0800X LMHC 2649 FL
Professional Counselor 101YP2500X LMHC 2649 FL
Marriage & Family Therapist 106H00000X MT# 1953 FL Primary

Addresses

Primary practice location

2180 N Park Ave
Suite 320
Winter Park, FL 32789-2359

Mailing address

2180 N Park Ave
Suite # 320
Winter Park, FL 32789-2359
Phone (407) 620-8096

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

LicenseStateTypeSpecialty
LMHC 2649FLMDCounselor
MT# 1953FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226534400000",
    "number": "1346494630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 N PARK AVE",
            "address_2": "SUITE # 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892359",
            "telephone_number": "407-620-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 N PARK AVE",
            "address_2": "SUITE 320",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892359",
            "telephone_number": "407-620-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "MARK",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "LMHC LMFT NCC ACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "LMHC 2649",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 2649",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "LMHC 2649",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT# 1953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.

Verify at the official NPI Registry.