Ronnal Demeko Freeman, LPC, MT-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC012343 Issued in PA

Practice address

600 Haverford Rd Ste 201
Haverford, PA 19041-1139

Phone

(610) 664-2524

NPI assigned

Jul 13, 2020

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Nature of Therapy

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1700601853
  NPD Authorized official

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1417575770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E CLIVEDEN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191192321",
            "telephone_number": "704-219-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HAVERFORD RD STE 201",
            "city": "HAVERFORD",
            "state": "PA",
            "postal_code": "190411139",
            "telephone_number": "610-664-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "RONNAL",
        "middle_name": "DEMEKO",
        "credential": "LPC, MT-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-13",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Micheal Flaxenburg, M.D.
• Michael P Fogel, MA, ATR-BC, LPC
• Lequitta Fontenot
• Marta Pepe Forney, M.P.T, A.T.C.
• Franklin Duane Medical Associates, LLC
• Ruth Ann Frey, RN, CPNP
• Fred A Furia, MD
• Cynthia Ann Galan, PSY.D.
• Annarita Gentile, MSS
• Gentle Dental Haverford LLC

• Professional Counselor in Haverford, PA
• Providers in Haverford, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.