Active NPI
Robert Louis Freedman, LMFT
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1487861118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 38181
- Practice address
- 5625 Collete Avenue, Suite 207
Oakland, CA 94618-4134 - Phone
- (510) 684-2647
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 38181 | CA | Primary |
Addresses
Primary practice location
5625 Collete Avenue, Suite 207
Oakland, CA 94618-4134
Mailing address
1301 Dartmouth St
Albany, CA 94706-2311
Phone (510) 684-2647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1808 | Other | OR | LPC |
Other names 1
- Mr. Robert Louis Freedman
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 38181 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1487861118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 DARTMOUTH ST",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062311",
"telephone_number": "510-684-2647",
"fax_number": "510-684-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5625 COLLETE AVENUE, SUITE 207",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946184134",
"telephone_number": "510-684-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC 38181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "C1808",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "FREEDMAN",
"middle_name": "LOUIS",
"prefix": "MR.",
"credential": "LMFT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.