Active NPI
Freedom Counseling Center PLLC
- Community/Behavioral Health Agency
- Fayetteville, NC
National Provider Identifier
1710749239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FREEDOM COUNSELING CENTER PLLC
- Practice address
- 777 Elliot Bridge Rd
Fayetteville, NC 28311-9722 - Phone
- (912) 463-2231
- Fax
- (910) 475-1187
- NPI assigned
- Jan 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen E Yowell, LCMHC
- Title
- Owner
- Phone
- (912) 463-2231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
777 Elliot Bridge Rd
Fayetteville, NC 28311-9722
Mailing address
517 Nottingham Dr
Fayetteville, NC 28311-1333
Phone (912) 463-2231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240227001165 | NC | Part B Supplier - Clinic/Group Practice | 7315382637 | Practice locations: Fayetteville, NC |
National Provider Directory
National Provider DirectoryLocations
777 Elliot Bridge Rd
Fayetteville, NC 28311
Phone (912) 463-2231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1710749239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 NOTTINGHAM DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283111333",
"telephone_number": "912-463-2231",
"fax_number": "910-475-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 ELLIOT BRIDGE RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283119722",
"telephone_number": "912-463-2231",
"fax_number": "910-475-1187"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM COUNSELING CENTER PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "YOWELL",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "912-463-2231",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.