Individual provider Active NPI

Danielle Carmela Freetly, MA. LMFT

  • Marriage & Family Therapist
  • Rochester, MN
National Provider Identifier
1346996261
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3425 40TH Ave NW Ste 101
Rochester, MN 55901-2790
Phone
(507) 398-3210
NPI assigned
Mar 1, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

3425 40TH Ave NW Ste 101
Rochester, MN 55901-2790

Mailing address

3131 Superior Dr NW Ste B
Rochester, MN 55901-1999
Phone (507) 398-3210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328000803 MN Practitioner - Marriage and Family Therapist 2062859895 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4192MNMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
North Counseling, LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

151 Saint Andrews Ct
Ste 200
Mankato, MN 56001
Phone (507) 705-5415

3131 Superior Dr NW
Ste B
Rochester, MN 55901
Phone (507) 414-8369

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": "1646092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1346996261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 SUPERIOR DR NW STE B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559011999",
            "telephone_number": "507-398-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 40TH AVE NW STE 101",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559012790",
            "telephone_number": "507-398-3210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREETLY",
        "first_name": "DANIELLE",
        "middle_name": "CARMELA",
        "credential": "MA. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-01",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.