Individual provider Active NPI

Robert K Freeman, LMFT

  • Marriage & Family Therapist
  • Stratford, CT
National Provider Identifier
1477177269
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
485 Issued in CT
Practice address
2595 Main St
Stratford, CT 06615-5855
Phone
(203) 345-0404
Fax
(203) 908-4110
NPI assigned
Jun 8, 2020
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 485 CT Primary

Addresses

Primary practice location

2595 Main St
Stratford, CT 06615-5855

Mailing address

24 Hillside Ave
Cheshire, CT 06410-1012
Phone (203) 278-6825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260306000309 CT Practitioner - Marriage and Family Therapist 2264914464 Reassigns benefits to 1 organization
Practice locations: Norwalk, CT

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blick Medical Allies ,IncGroup PAC ID 4880174465, 2 clinicians

Practice addresses (Care Compare)

149 Water St
Suite 402
Norwalk, CT 06854-3781
Phone (203) 842-2894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Blick Medical Allies ,Inc CurrentSince Jan 4, 2026 Accepting new patients

Locations

149 Water St
Ste 402
Norwalk, CT 06854
Phone (203) 842-2894

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1477177269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HILLSIDE AVE",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101012",
            "telephone_number": "203-278-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 MAIN ST",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066155855",
            "telephone_number": "203-345-0404",
            "fax_number": "203-908-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ROBERT",
        "middle_name": "K",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CT",
            "license": "485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

Verify at the official NPI Registry.