Freeland Shreve, M.ED., NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R10147 Issued in OR

Practice address

5319 SW Westgate Dr Ste 113
Portland, OR 97221-2432

Phone

(503) 928-6542

NPI assigned

Aug 4, 2022

Last updated

Nov 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Liminality Counseling, LLC

  dba Liminality Counseling

  • Mental Health Counselor
  • Portland, OR
  • NPI 1578384517
  NPD Authorized official

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1639806185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 SW 102ND AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086518",
            "telephone_number": "646-496-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5319 SW WESTGATE DR STE 113",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972212432",
            "telephone_number": "503-928-6542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7500 SW 102nd Ave",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970086518",
            "country_code": "US",
            "telephone_number": "646-496-2344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHREVE",
        "first_name": "FREELAND",
        "credential": "M.ED., NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-04",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R10147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William H Showell, LCSW
• Deon Dante Showers
• Makayla Marie Showers
• Tanaya Shree, M.D., PH.D.
• Salona Shrestha, MD
• Hilary Anne Shreves, ACNP
• Michael Ryan Shrifter, PSY.D.
• Shriners Hospitals for Children
• Shriners Hospitals for Children
• Shriners Hospitals for Children

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.