Organization Active NPI

Free Your Mind Counseling LLC

  • Mental Health Counselor
  • Oklahoma City, OK
National Provider Identifier
1437758323
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FREE YOUR MIND COUNSELING LLC
Practice address
10802 Quail Plaza Dr Ste 208
Oklahoma City, OK 73120-3121
Phone
(405) 503-9444
NPI assigned
Oct 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Miss Rachel Kirk, LPCNPI 1043573827
Title
Owner
Phone
(405) 503-9444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

10802 Quail Plaza Dr Ste 208
Oklahoma City, OK 73120-3121

Mailing address

10802 Quail Plaza Dr Ste 208
Oklahoma City, OK 73120-3121
Phone (405) 503-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241105000806 OK Part B Supplier - Clinic/Group Practice 3173057767 Receives reassigned benefits from 1 practitioner
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

10802 Quail Plaza Dr
Ste 208
Oklahoma City, OK 73120
Phone (405) 312-9882

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1437758323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10802 QUAIL PLAZA DR STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203121",
            "telephone_number": "405-503-9444",
            "fax_number": "405-497-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10802 QUAIL PLAZA DR STE 208",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203121",
            "telephone_number": "405-503-9444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE YOUR MIND COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-503-9444",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.