Freedom Counseling Center MN

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP3107 Issued in MN

Legal business name

FREEDOM COUNSELING CENTER MN

Doing business as

Freedom Counseling Center

Practice address

709 N Riverfront Dr
Mankato, MN 56001-3454

Phone

(507) 934-4160

Fax

(507) 934-4160

NPI assigned

Nov 3, 2017

Last updated

May 17, 2024By 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

David Loren Andros, MS, LPNPI 1386717700

Title

Owner Psychologist

Phone

(507) 934-4160

Specialties & licenses 1

Addresses

Other names 1

• Freedom Counseling Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• David Loren Andros, MS, LP

  • Psychologist
  • North Mankato, MN
  • NPI 1386717700
  Medicare reassignment NPD Authorized official
• Heather Sarita Jackowell, LPCC

  • Professional Counselor
  • Mankato, MN
  • NPI 1467965624
  NPD (past)

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1467964031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 WALNUT ST",
            "city": "SAINT PETER",
            "state": "MN",
            "postal_code": "560821442",
            "telephone_number": "507-934-4160",
            "fax_number": "507-934-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N RIVERFRONT DR",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013454",
            "telephone_number": "507-934-4160",
            "fax_number": "507-934-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM COUNSELING CENTER MN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "ANDROS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "OWNER PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-934-4160",
        "authorized_official_credential": "MS, LP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP3107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freedom Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Frances, MS, LMFT, LPCC
• Brooke Frandle
• Heather Frantum-Mathes, LMFT
• Justin Lee Fredrickson, MOT
• Robert Freed
• Freedom Health Center of Minnesota PLLC
• Freedom Home Care, LLC
• Alexandra Annmarie Freitag
• Joann Patrice Frey Hawkins, LP
• Edward A Frey, MS, LPC

• Psychologist in Mankato, MN
• Providers in Mankato, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.