Active NPI
Freedom Recovery Foundation Inc
- Addiction (Substance Use Disorder) Counselor
- Independence, MO
National Provider Identifier
1407597826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- FREEDOM RECOVERY FOUNDATION INC
- Practice address
- 204 E Gudgell Ave
Independence, MO 64055-1442 - Phone
- (816) 786-4253
- Fax
- (888) 834-2444
- NPI assigned
- Apr 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Hale
- Title
- Director of Finance
- Phone
- (816) 786-4253
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
204 E Gudgell Ave
Independence, MO 64055-1442
Mailing address
204 E Gudgell Ave
Independence, MO 64055-1442
Phone (816) 786-4253
Other practice location 1
12820 E 47th St S
Independence, MO 64055-5606
Phone (816) 786-4253
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | INDEPENDENCE | Health Information Exchange (HIE) | |
| CONNECT URL | INDEPENDENCE | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Raymore, MO
- NPI 1497420640
-
- Addiction (Substance Use Disorder) Registered Nurse
- Independence, MO
- NPI 1285375303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649289600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649289600000",
"number": "1407597826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E GUDGELL AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640551442",
"telephone_number": "816-786-4253",
"fax_number": "888-834-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E GUDGELL AVE",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640551442",
"telephone_number": "816-786-4253",
"fax_number": "888-834-2444"
}
],
"practiceLocations": [
{
"address_1": "12820 E 47th St S",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "640555606",
"country_code": "US",
"telephone_number": "816-786-4253",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "FREEDOM RECOVERY FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-07",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A",
"authorized_official_last_name": "HALE",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "816-786-4253"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "INDEPENDENCE",
"affiliation": "N",
"endpointDescription": "KANSAS CITY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "204 E Gudgell Ave",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640551442",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "INDEPENDENCE",
"affiliation": "N",
"endpointDescription": "KANSAS CITY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "204 E Gudgell Ave",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640551442",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.