Individual provider Active NPI

Julie Freeman

  • Mental Health Counselor
  • Raleigh, NC
National Provider Identifier
1346856291
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2590 Issued in NC
Practice address
211 E Six Forks Rd Ste 117
Raleigh, NC 27609-7753
Phone
(919) 833-8899
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2590 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CADC-2590 NC

Addresses

Primary practice location

211 E Six Forks Rd Ste 117
Raleigh, NC 27609-7753

Mailing address

2108 Langdon Rd
Raleigh, NC 27604-3616
Phone (919) 210-8844

Other practice location 1

2108 Langdon Rd
Raleigh, NC 27604-3616
Phone (919) 210-8844

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
CADC-2590NCMDAddiction (Substance Use Disorder) Counselor
2590NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Healthcare, PLLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1346856291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 LANGDON RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043616",
            "telephone_number": "919-210-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 117",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097753",
            "telephone_number": "919-833-8899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 Langdon Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276043616",
            "country_code": "US",
            "telephone_number": "919-210-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JULIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2590",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "CADC-2590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.