Daniel Lynn Free, MA LCPC
Individual provider Active NPI Professional Counselor · Maryville, IL
NPI 1376101113 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1376101113
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.012522 (IL)
- Practice address
- 8 Professional Park Dr
Maryville, IL 62062-5672 - Phone
- (314) 246-0561
- Fax
- (855) 719-2556
- NPI assigned
- Jun 5, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Compass Community Counseling
Practice addresses (Care Compare)
8 Professional Park Dr
Maryville, IL 62062-5672
Phone (618) 417-7158
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251106004445 | IL | Practitioner - Mental Health Counselor | 3476043514 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.011537 | IL | MD | Professional Counselor |
| 180.012522 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Compass Community Counseling | Current |
Accepting new patients |
Locations
131 Hillsboro Ave
Edwardsville, IL 62025
Phone (314) 884-8514
8 Professional Park Dr
Maryville, IL 62062
Phone (314) 246-0561
16B Professional Park Dr
Maryville, IL 62062
Phone (314) 246-9277
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178.011537 | IL | |
| Professional Counselor | 101YP2500X | 180.012522 | IL | Yes |
Addresses
Primary practice location
8 Professional Park Dr
Maryville, IL 62062-5672
Mailing address
16 Timber Meadows PL
Edwardsville, IL 62025-5514
Phone (618) 219-6781
Other practice location 1
16A Professional Park Dr
Maryville, IL 62062-5853
Phone (314) 246-0561
Other providers in Maryville, IL
- Kathryn Followell
- Barbara Joy Foner
- Foot Health Centers PC
- Doreen Kelly Forbes
- Olivia Anne Frawley
- Jocelyn Freeman
- Danielle Nicole Fries
- Megan Rae Fulling
- G & G Anesthesia LLC
- Kelley Marie Gaither
All providers in Maryville, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.