Kenelle Corine Freeman, DNP, PMHNP-BC, LCSW

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

71016387A Issued in IN

Practice address

11 Municipal Dr Ste 200
Fishers, IN 46038-1634

Phone

(463) 215-7577

NPI assigned

Mar 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Fourth Trimester Wellness Journey'S

  • Psychiatric/Mental Health Nurse Practitioner
  • Fishers, IN
  • NPI 1033906219
  NPD Authorized official

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741305600000",
    "number": "1497044390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DR STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381634",
            "telephone_number": "463-215-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MUNICIPAL DR STE 200",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460381634",
            "telephone_number": "463-215-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "KENELLE",
        "middle_name": "CORINE",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-31",
        "last_updated": "2025-03-07",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007505A",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "71016387A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fre Clear Mind Center, Inc.
• Freedom Chiropractic Inc
• Danille Freeman
• Eva M Freeman, MD
• Julie Andrea Freeman, O.T.R.
• Julie Freiburger, PHARMD
• Thomas Robert Freije, MD
• Marcia Mount French, LCSW
• Fresenius Medical Care Fishers, LLC
• Hannah Elizabeth Frick

• Psychiatric/Mental Health Nurse Practitioner in Fishers, IN
• Providers in Fishers, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.