Organization Active NPI

Sheryl J. Freeman, LTD.

  • Marriage & Family Therapist
  • Burnsville, MN
National Provider Identifier
1588724801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1109 Issued in MN
Legal business name
SHERYL J. FREEMAN, LTD.
Practice address
14581 Grand Ave Ste 204
Burnsville, MN 55306-5733
Phone
(952) 435-5782
Fax
(952) 435-5782
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sheryl J Freeman, LMFT
Title
President
Phone
(952) 435-5782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 1109 MN Primary

Addresses

Primary practice location

14581 Grand Ave Ste 204
Burnsville, MN 55306-5733

Mailing address

15017 Orchard Dr
Burnsville, MN 55306-4939
Phone (952) 435-5782

Other identifiers 2

IdentifierTypeStateIssuer
351R0FROtherMNBLUECROSS BLUESHIELD
244794OtherMNCOMPSYCH

National Provider Directory

National Provider Directory

Locations

14581 Grand Ave
Ste 204
Burnsville, MN 55306
Phone (952) 435-5782

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1588724801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15017 ORCHARD DR",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064939",
            "telephone_number": "952-435-5782",
            "fax_number": "952-435-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14581 GRAND AVE STE 204",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553065733",
            "telephone_number": "952-435-5782",
            "fax_number": "952-435-5782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERYL J. FREEMAN, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-435-5782",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "351R0FR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "244794",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.