Organization Active NPI

Freedom Counseling Center PLLC

  • Community/Behavioral Health Agency
  • Fayetteville, NC
National Provider Identifier
1710749239
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Jan 29, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20240227001165 NC Part B Supplier - Clinic/Group Practice 7315382637 Practice locations: Fayetteville, NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.