Evelynn Freeman Psychotherapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EVELYNN FREEMAN PSYCHOTHERAPY LLC

Practice address

805 S 75TH St
Omaha, NE 68114-4670

Phone

(402) 401-4119

NPI assigned

Jun 26, 2021

Organization subpart

No

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

Authorized official

Name

Evelynn Rachel Freeman, M.S. ED , PLMHPNPI 1871169060

Title

Manager/Member/Professional Employe

Phone

(402) 401-4119

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evelynn Rachel Freeman, PLMHP

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1871169060
  NPD Authorized official

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

{
    "created_epoch": "1624665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1497325005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7553 LAWNDALE DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681344438",
            "telephone_number": "402-677-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S 75TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144670",
            "telephone_number": "402-401-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7553 Lawndale Dr",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681344438",
            "country_code": "US",
            "telephone_number": "402-401-4119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVELYNN FREEMAN PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-26",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "EVELYNN",
        "authorized_official_middle_name": "RACHEL",
        "authorized_official_title_or_position": "MANAGER/MEMBER/PROFESSIONAL EMPLOYE",
        "authorized_official_telephone_number": "402-401-4119",
        "authorized_official_credential": "M.S. ED , PLMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.