Organization Active NPI

Freetolive Counseling Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
National Provider Identifier
1689309965
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FREETOLIVE COUNSELING SERVICES
Practice address
1515 Market St Ste 1200
Philadelphia, PA 19102-1932
Phone
(484) 496-4694
Fax
(484) 376-8005
NPI assigned
Jul 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Mrs. Latisha D McCoy, PHD. LPCNPI 1972137917
Title
Licensed Therapist/Owner
Phone
(484) 496-4694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1515 Market St Ste 1200
Philadelphia, PA 19102-1932

Mailing address

PO Box 4662
Newark, DE 19715-4662
Phone (484) 496-4694

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1689309965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4662",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197154662",
            "telephone_number": "484-496-4694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MARKET ST STE 1200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021932",
            "telephone_number": "484-496-4694",
            "fax_number": "484-376-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREETOLIVE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-20",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LICENSED THERAPIST/OWNER",
        "authorized_official_telephone_number": "484-496-4694",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PHD. LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.