Freedom Family Counseling Group Corp.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

FREEDOM FAMILY COUNSELING GROUP CORP.

Doing business as

Freedom Counseling Group

Practice address

190 S Orchard Ave Ste C230
Vacaville, CA 95688-3657

Phone

(707) 634-4863

NPI assigned

Jul 23, 2020

Last updated

Jul 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Richard AndersonNPI 1144680513

Title

President

Phone

(707) 310-1681

Specialties & licenses 1

Addresses

Other names 1

• Freedom Counseling Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Anderson, PSYD

  • Marriage & Family Therapist
  • Vacaville, CA
  • NPI 1144680513
  NPD Authorized official

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

{
    "created_epoch": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1417566605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5063 MAPLE RD",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956879468",
            "telephone_number": "707-310-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S ORCHARD AVE STE C230",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883657",
            "telephone_number": "707-634-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM FAMILY COUNSELING GROUP CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-310-1681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Rovida Fragoso Wilkerson
• Israel Francisco
• Sharon Frank
• Tracy M Frank, MS CCC-SLP
• Brenda Frechette, PHD
• Sara Soleil French, OTR/L
• Judith L Frendo, M.F.T.
• Daniel Richard Fridolfsson, DPT
• Daniel Joseph Friedman
• William Howard Fritz

• Adult Mental Health Clinic/Center in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.