Anthony Jerome Freeman, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC006046 Issued in GA

Practice address

120 Gordon Commercial Dr Ste B
Lagrange, GA 30240-5753

Phone

(706) 845-4054

Fax

(706) 845-4430

NPI assigned

Jan 18, 2012

Sex

Male

Sole proprietor

No

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

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.

• Pathways Center for Behavioral and Developmental Growth

  • Community/Behavioral Health Agency
  • Barnesville, GA
  • NPI 1124183082
  NPD (past)

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

{
    "created_epoch": "1326844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1467723833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 W GREENWICH CIR",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302417610",
            "telephone_number": "706-402-3417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 GORDON COMMERCIAL DR STE B",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302405753",
            "telephone_number": "706-845-4054",
            "fax_number": "706-845-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ANTHONY",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC006046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Foerster, APC
• Frances Morgan Fordham, PHARMD
• Renonda Michelle Forney
• Olivia Foster, NP
• Elizabeth Fowler
• Richard Freeman, M.D.
• Laura Garrard Fuller, APRN
• Jill Garcia
• Mariana Garcia
• Stephanie Alejandra Garcia

• Mental Health Counselor in Lagrange, GA
• Providers in Lagrange, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.