Free Spirit Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FREE SPIRIT COUNSELING LLC

Practice address

9249 NW 31St St
Terrebonne, OR 97760

Phone

(541) 316-0206

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Casey RomineNPI 1295223923

Title

Owner

Phone

(541) 410-8713

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Casey Romine

  • Mental Health Counselor
  • Terrebonne, OR
  • NPI 1295223923
  NPD Authorized official

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1659945202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16232 SW LOWER BRIDGE WAY",
            "city": "TERREBONNE",
            "state": "OR",
            "postal_code": "977609678",
            "telephone_number": "541-316-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9249 NW 31ST ST",
            "city": "TERREBONNE",
            "state": "OR",
            "postal_code": "97760",
            "telephone_number": "541-316-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE SPIRIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "ROMINE",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-410-8713"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500810955",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Coulter, LMCHA
• Crooked River Ranch Fire Protection District VI-503 (Crooked River Ranch RFPD)
• Rocke Dee Darlington, R.PH.
• Sharon Kristine Ellis, RN, BSN
• Sheilah Ariadne Fairless Bafus
• Coleman Gayheart Jr., PHARMACIST
• Jennifer Purswell LPC, LLC
• Jeanna Marie Jones, MSW, CSWA
• Kim Rochelle Kirk, RN
• Lutheran Community Services NW

• Mental Health Counselor in Terrebonne, OR
• Providers in Terrebonne, 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 Feb 14, 2023; 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.