NPIMap

Individual provider Active NPI

Andrea Maria Kelley-Freeman, M.S.

  • Addiction (Substance Use Disorder) Counselor
  • Easton, MD
National Provider Identifier
1477974277
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LCA2304 Issued in MD
Practice address
8737 Brooks Dr Ste 108
Easton, MD 21601-7474
Phone
(410) 818-5649
Fax
(410) 819-5691
NPI assigned
Dec 20, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X LC8776 MD
Prevention Professional 405300000X LCA2304 MD
Counselor 101Y00000X LC8776 MD
Mental Health Counselor 101YM0800X LC8776 MD
Professional Counselor 101YP2500X LCA2304 MD
Addiction (Substance Use Disorder) Counselor 101YA0400X LCA2304 MD Primary

Addresses

Primary practice location

8737 Brooks Dr Ste 108
Easton, MD 21601-7474

Mailing address

8737 Brooks Dr Ste 108
Easton, MD 21601-7474
Phone (800) 867-2395

Other practice location 1

514 Poplar St
Cambridge, MD 21613-1834
Phone (800) 867-2395

Other practice location 2

2324 West Zion
Suite 112
Salisbury, MD 21801
Phone (800) 867-2395 ext. 80086

Other practice location 3

411 Dorchester Ave Ste C12
Cambridge, MD 21613-2421
Phone (800) 867-2395

Other names 1

  • Andrea Maria Kelley-Freeman Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LC8776MDMDSchool Counselor
LCA2304MDMDPrevention Professional

Organizations & group practices 12

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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1477974277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8737 BROOKS DR STE 108",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017474",
            "telephone_number": "800-867-2395",
            "fax_number": "410-443-0842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8737 BROOKS DR STE 108",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216017474",
            "telephone_number": "410-818-5649",
            "fax_number": "410-819-5691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "514 Poplar St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216131834",
            "country_code": "US",
            "telephone_number": "800-867-2395",
            "fax_number": "410-443-0842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2324 West Zion",
            "address_2": "Suite 112",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "21801",
            "country_code": "US",
            "telephone_number": "800-867-2395 x80086",
            "fax_number": "410-443-0842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Dorchester Ave Ste C12",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MD",
            "postal_code": "216132421",
            "country_code": "US",
            "telephone_number": "800-867-2395",
            "fax_number": "410-443-0842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY-FREEMAN",
        "first_name": "ANDREA",
        "middle_name": "MARIA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MD",
            "license": "LC8776",
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "MD",
            "license": "LCA2304",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC8776",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC8776",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LCA2304",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "KELLEY-FREEMAN",
            "middle_name": "MARIA",
            "credential": "LCADC, LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.