Individual provider Active NPI

Elai Freed, LPCC

  • Professional Counselor
  • Bowling Green, OH
National Provider Identifier
1669093035
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2203172 Issued in OH
Practice address
2111 E Wooster St Ste a
Bowling Green, OH 43402-9083
Phone
(419) 379-1813
NPI assigned
Apr 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Professional Counselor 101YP2500X E.2203172 OH Primary

Addresses

Primary practice location

2111 E Wooster St Ste a
Bowling Green, OH 43402-9083

Mailing address

885 Commerce Dr
Perrysburg, OH 43551-5267
Phone (419) 330-1050

Other practice location 1

885 Commerce Dr
Perrysburg, OH 43551-5267
Phone (419) 924-2029

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240318000694 OH Practitioner - Mental Health Counselor 4688011380 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2203172OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ohioguidestone Community/Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
Ohioguidestone CurrentSince Jan 1, 2024 Accepting new patients
Ohioguidestone Current Accepting new patients
Ohioguidestone Community/Behavioral Health Past Accepting new patients

Locations

434 Eastland Rd
Berea, OH 44017
Phone (440) 260-8327

202 E Bagley Rd
Berea, OH 44017
Phone (440) 260-8327

1895 Oakwood Ave
Napoleon, OH 43545
Phone (419) 330-5122

885 Commerce Dr
Perrysburg, OH 43551
Phone (419) 330-1050

Organizations & group practices 4

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1669093035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 COMMERCE DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515267",
            "telephone_number": "419-330-1050",
            "fax_number": "419-931-6764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 E WOOSTER ST STE A",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434029083",
            "telephone_number": "419-379-1813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "885 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "435515267",
            "country_code": "US",
            "telephone_number": "419-924-2029",
            "fax_number": "419-924-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREED",
        "first_name": "ELAI",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2203172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.