Active NPI
Agata Freedle
- Counselor
- St. Louis, MO
National Provider Identifier
1356732150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 2015003586
- Practice address
- 4485 Westminister Place
St. Louis, MO 63108 - Phone
- (314) 623-6598
- NPI assigned
- Feb 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 2015003586 | MO | Primary |
Addresses
Primary practice location
4485 Westminister Place
St. Louis, MO 63108
Mailing address
5616 S Magnolia Ave
Saint Louis, MO 63139-1642
Phone (219) 801-6945
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 |
|---|---|---|---|
| 2015003586 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1356732150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5616 S MAGNOLIA AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631391642",
"telephone_number": "219-801-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 WESTMINISTER PLACE",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63108",
"telephone_number": "314-623-6598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDLE",
"first_name": "AGATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-16",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2015003586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.