Elizabeth Adair Freese, LAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LAC-16948 Issued in AZ

Practice address

19636 N 27TH Ave Ste 106
Phoenix, AZ 85027-4014

Phone

(480) 712-4600

NPI assigned

May 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 22, 2024 through May 22, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1407479645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7501 N 18TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850217909",
            "telephone_number": "480-532-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19636 N 27TH AVE STE 106",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850274014",
            "telephone_number": "480-712-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREESE",
        "first_name": "ELIZABETH",
        "middle_name": "ADAIR",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC-16948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige Nichole Freeman, APRN,FNP-C
• Shanielle Freeman
• Weston Hugh Freeman, DO
• Wilbur Knowlton Freeman III, DO
• Kari Freer, ACNP-AG
• Marc A Freese
• Eric John Fregozo
• Emily Ruth Frei
• Lars Freisberg, MD
• Gary Alan Freitas, PH.D.

• Professional Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.