Active NPI
Ron Freeman, EDD, LPC, LMFT
- Mental Health Counselor
- Fayetteville, AR
National Provider Identifier
1679624357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P8108209
- Practice address
- 65 E Sunbridge Dr
Fayetteville, AR 72703-2894 - Phone
- (479) 443-9707
- Fax
- (479) 443-4504
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P8108209 | AR | Primary |
Addresses
Primary practice location
65 E Sunbridge Dr
Fayetteville, AR 72703-2894
Mailing address
PO Box 1942
Fayetteville, AR 72702-1942
Phone (479) 443-9707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 13, 2025 through Feb 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P8108209 | AR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah Pitts Nutrition Consulting LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Fayetteville, AR
- NPI 1841677648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679624357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1942",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021942",
"telephone_number": "479-443-9707",
"fax_number": "479-443-4504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 E SUNBRIDGE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032894",
"telephone_number": "479-443-9707",
"fax_number": "479-443-4504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "RON",
"credential": "EDD, LPC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AR",
"license": "P8108209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.