NPIMap

Organization Active NPI

Freedom Counseling LLC

  • Psychologist
  • Kalamazoo, MI
National Provider Identifier
1669962411
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FREEDOM COUNSELING LLC
Practice address
471 W South St Ste 41B
Kalamazoo, MI 49007-4673
Phone
(269) 760-2235
NPI assigned
May 17, 2018
Last updated
Feb 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Authorized official

Name
Elizabeth Cary, MA, LLP, CAADCNPI 1174870489
Title
Self/Owner
Phone
(269) 760-2235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

471 W South St Ste 41B
Kalamazoo, MI 49007-4673

Mailing address

PO Box 19856
Kalamazoo, MI 49019-0856
Phone (269) 993-4499

Other practice location 1

5380 Holiday Ter Ste 37
Kalamazoo, MI 49009
Phone (269) 760-2235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180807002147 MI Part B Supplier - Clinic/Group Practice 5799033726 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

471 W South St
Ste 41B
Kalamazoo, MI 49007
Phone (269) 350-4143

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614384000000",
    "number": "1669962411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19856",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490190856",
            "telephone_number": "269-993-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 W SOUTH ST STE 41B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074673",
            "telephone_number": "269-760-2235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5380 Holiday Ter Ste 37",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "49009",
            "country_code": "US",
            "telephone_number": "269-760-2235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREEDOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A",
        "authorized_official_last_name": "CARY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "SELF/OWNER",
        "authorized_official_telephone_number": "269-760-2235",
        "authorized_official_credential": "MA, LLP, CAADC"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.