Freed Spirit Studios

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60307682 Issued in WA

Legal business name

FREED SPIRIT STUDIOS

Practice address

304 Main Ave S Ste 102
Renton, WA 98057-2758

Phone

(206) 518-1340

Fax

(855) 958-5396

NPI assigned

Oct 13, 2017

Organization subpart

No

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

Authorized official

Name

Amanda Everly, LMHCNPI 1700121902

Title

Owner/Provider

Phone

(206) 518-1340

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Amanda Everly, LMHC

  • Mental Health Counselor
  • Renton, WA
  • NPI 1700121902
  NPD Authorized official
• Trista Nicole Mortensen, MSW

  • Clinical Social Worker
  • Renton, WA
  • NPI 1720125636
  NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1508377805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S STE 102",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758",
            "telephone_number": "206-518-1340",
            "fax_number": "855-958-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREED SPIRIT STUDIOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "EVERLY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "206-518-1340",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60307682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fred Meyer Stores Inc
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• Mark Owen Fredericksen, N.D.
• Jesse Lee Free, MA, LAT, ATC
• Ronan Barry Freed
• Kristin Anne Freer, RN60524690
• Natalie Frei
• Veronica Friang
• Deborah L Friant, PA-C

• Mental Health Counselor in Renton, WA
• Providers in Renton, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.