Individual provider Active NPI

Corryn Nicole Freeman-Wells

  • Behavior Technician
  • Cleveland, OH
National Provider Identifier
1356935274
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
161797 Issued in OH
Practice address
4415 Euclid Ave Ste 315
Cleveland, OH 44103-3759
Phone
(216) 465-2000
NPI assigned
Feb 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 161797 OH Primary
Social Worker 104100000X

Addresses

Primary practice location

4415 Euclid Ave Ste 315
Cleveland, OH 44103-3759

Mailing address

4415 Euclid Ave.
Ste 315
Cleveland, OH 44103
Phone (216) 465-2000

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
161797OHMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Project Lift Behavioral Health Services CurrentSince Mar 4, 2021 Accepting new patients

Locations

4415 Euclid Ave
Ste 315
Cleveland, OH 44103
Phone (216) 465-2000

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": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1356935274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE.",
            "address_2": "STE 315",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44103",
            "telephone_number": "216-465-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 EUCLID AVE STE 315",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033759",
            "telephone_number": "216-465-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN-WELLS",
        "first_name": "CORRYN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": "161797",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.