Individual provider Active NPI

Sandra Lou Freedman, LCSW

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1386353209
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW9400 Issued in FL
Practice address
1903 S Congress Ave Ste 340
Boynton Beach, FL 33426-6562
Phone
(561) 777-8345
NPI assigned
Nov 18, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X SW9400 FL Primary

Addresses

Primary practice location

1903 S Congress Ave Ste 340
Boynton Beach, FL 33426-6562

Mailing address

1903 S Congress Ave Ste 340
Boynton Beach, FL 33426-6562
Phone (561) 777-8345

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
SW9400FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MH Cares, LLC CurrentSince Nov 20, 2022 Accepting new patients

Locations

1903 S Congress Ave
Ste 340
Boynton Beach, FL 33426
Phone (561) 733-1674

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1386353209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE STE 340",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266562",
            "telephone_number": "561-777-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S CONGRESS AVE STE 340",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334266562",
            "telephone_number": "561-777-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEDMAN",
        "first_name": "SANDRA",
        "middle_name": "LOU",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW9400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.