Free Spirit Counseling LLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

FREE SPIRIT COUNSELING LLC

Practice address

1069 W Broad St Ste 1008
Columbus, OH 43222-1440

Phone

(614) 681-1460

Fax

(614) 639-8228

NPI assigned

Aug 11, 2019

Last updated

Jul 30, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Acacia Gabrielle Quaintance, LISWNPI 1578030979

Title

Licensed Independent Social Worker

Phone

(330) 814-6384

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Acacia Quaintance, LISW-S

  • Social Worker
  • Columbus, OH
  • NPI 1578030979
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1750937363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5587 READERS ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431108328",
            "telephone_number": "330-814-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 W BROAD ST STE 1008",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221440",
            "telephone_number": "614-681-1460",
            "fax_number": "614-639-8228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4937 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432281646",
            "country_code": "US",
            "telephone_number": "330-814-6384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FREE SPIRIT COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-11",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "QUAINTANCE",
        "authorized_official_first_name": "ACACIA",
        "authorized_official_middle_name": "GABRIELLE",
        "authorized_official_title_or_position": "LICENSED INDEPENDENT SOCIAL WORKER",
        "authorized_official_telephone_number": "330-814-6384",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton A Frederick
• Nicole Frederick
• Fredric a Kaufman DDS, Inc
• Marjorie Kay Fredrickson, RPH
• Megan Marie Fredwall, MD
• Free Spirit Healthcare Services LLC
• Carolyn Free
• Heather Free, PHARMD
• Katelyn Ann Freece, MS, ATC
• Alex T Freedenberg, MD

• Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.