Individual provider Active NPI

Emily Marie Freimuth, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Blue Ash, OH
National Provider Identifier
1639550981
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.17451 Issued in OH
Practice address
10200 Alliance Rd Ste 150
Blue Ash, OH 45242-4754
Phone
(855) 401-9166
Fax
(513) 891-2838
NPI assigned
Jun 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.17451 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.17451 OH Primary

Addresses

Primary practice location

10200 Alliance Rd Ste 150
Blue Ash, OH 45242-4754

Mailing address

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 534-1369

Other practice location 1

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone (937) 534-1369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151020001476 OH Practitioner - Nurse Practitioner 3870802556 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

10200 Alliance Rd
Suite 150
Blue Ash, OH 45242-4754
Phone (513) 975-4673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.17451OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Nov 1, 2021 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince Jul 26, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Nov 1, 2021 Accepting new patients
South Community Inc. CurrentSince Aug 1, 2018 Accepting new patients
South Community Inc CurrentSince Aug 1, 2018 Accepting new patients
Beaumont Behavioral Health PSC Psychiatric/Mental Health Past Accepting new patients

Locations

10200 Alliance Rd
Ste 150
Blue Ash, OH 45242
Phone (513) 563-0488

8459 Colerain Ave
Unit C
Cincinnati, OH 45239
Phone (513) 815-3851

6210 Brandt Pike
Huber Heights, OH 45424
Phone (937) 236-8630

3095 Kettering Blvd
Moraine, OH 45439

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

1301 W 1st St
Springfield, OH 45504
Phone (937) 271-0066

101 S Orange St
Xenia, OH 45385
Phone (937) 271-0066

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.emilyfreimuth@140097.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1639550981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3095 KETTERING BLVD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391983",
            "telephone_number": "937-534-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 ALLIANCE RD STE 150",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424754",
            "telephone_number": "855-401-9166",
            "fax_number": "513-891-2838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3095 Kettering Blvd",
            "address_purpose": "LOCATION",
            "city": "Moraine",
            "state": "OH",
            "postal_code": "454391983",
            "country_code": "US",
            "telephone_number": "937-534-1369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREIMUTH",
        "first_name": "EMILY",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.17451",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.17451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.