Active NPI
Rebekka Lee Freeman, PSYD,LADC,CC.COND
- Addiction (Substance Use Disorder) Counselor
- Swanville, ME
National Provider Identifier
1437393220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LC956
- Practice address
- 37 East Trout LN
Swanville, ME 04915-0284 - Phone
- (207) 338-6055
- NPI assigned
- Apr 24, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC956 | ME | Primary |
| Professional Counselor | 101YP2500X | XL3225 | ME |
Addresses
Primary practice location
37 East Trout LN
Swanville, ME 04915-0284
Mailing address
PO Box 284
Belfast, ME 04915-0284
Phone (207) 338-6055
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 245720099 | Medicaid | ME | |
| 098185 | Other | ME | ANTHEM BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC956 | ME | MD | Addiction (Substance Use Disorder) Counselor |
| XL3225 | ME | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners for Change | Addiction (Substance Use Disorder) | Past | Accepting new patients |
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.
-
- Addiction (Substance Use Disorder) Counselor
- Belfast, ME
- NPI 1013938950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1437393220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 284",
"city": "BELFAST",
"state": "ME",
"postal_code": "049150284",
"telephone_number": "207-338-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 EAST TROUT LN",
"city": "SWANVILLE",
"state": "ME",
"postal_code": "049150284",
"telephone_number": "207-338-6055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "REBEKKA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSYD,LADC,CC.COND",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-24",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ME",
"license": "LC956",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "XL3225",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "245720099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "098185",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Swanville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.