Individual provider Active NPI

Jeannette Irene Freeman, LPAT

  • Professional Counselor
  • Albuquerque, NM
National Provider Identifier
1699701896
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0068422 Issued in NM
Practice address
1010 Las Lomas Rd NE
Albuquerque, NM 87102-2634
Phone
(505) 246-8700
Fax
(505) 246-8706
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0068422 NM Primary

Addresses

Primary practice location

1010 Las Lomas Rd NE
Albuquerque, NM 87102-2634

Mailing address

16 Camino del Sur
Tijeras, NM 87059-7448
Phone (505) 286-0057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20241024004267 NM Practitioner - Mental Health Counselor 9032642343 Practice locations: Albuquerque, NM

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3417 Carlisle Blvd NE
Albuquerque, NM 87110-1648
Phone (505) 934-2055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0068422NMMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Counseling & Guidance Services, PA 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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1699701896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CAMINO DEL SUR",
            "city": "TIJERAS",
            "state": "NM",
            "postal_code": "870597448",
            "telephone_number": "505-286-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 LAS LOMAS RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022634",
            "telephone_number": "505-246-8700",
            "fax_number": "505-246-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "JEANNETTE",
        "middle_name": "IRENE",
        "name_prefix": "Ms.",
        "credential": "LPAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0068422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.