Freda Worthon, M.Ed License Professional Counselor

Primary specialty

Substance Use Disorder Rehabilitation Hospital UnitTaxonomy code 276400000X

License

1999136664 Issued in MO

Legal business name

FREDA WORTHON, M.ED LICENSE PROFESSIONAL COUNSELOR

Practice address

5793 S Michigan Ave
Springfield, MO 65810-2593

Phone

(417) 881-1249

Fax

(417) 881-1249

NPI assigned

Nov 6, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Freda Annette Worthon, M.ED.

Title

License Professional Counselor

Phone

(417) 881-1249

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294099200000",
    "number": "1578864674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5793 S MICHIGAN AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102593",
            "telephone_number": "417-881-1249",
            "fax_number": "417-881-1249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5793 S MICHIGAN AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102593",
            "telephone_number": "417-881-1249",
            "fax_number": "417-881-1249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDA WORTHON, M.ED LICENSE PROFESSIONAL COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-06",
        "last_updated": "2011-01-04",
        "status": "A",
        "authorized_official_last_name": "WORTHON",
        "authorized_official_first_name": "FREDA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "417-881-1249",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "MO",
            "license": "1999136664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "494977416",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faith Fraser, M.S.
• Robert F. Fraser II, MD
• Ana Frazier, NP
• Shelley L Frazier, MS, LPC
• Sheridan Frazier
• Richard Ivan Frederick, PH.D.
• Tim E. Frederick, MD
• Taylor Fredrick
• Christina Freeman, DPT
• Heather M Freeman, LPC

• Substance Use Disorder Rehabilitation Hospital Unit in Springfield, MO
• Providers in Springfield, MO by specialty
• Substance Use Disorder Rehabilitation Hospital Unit in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.