NPIMap

Organization Active NPI

Free Your Mind Counseling, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhart, IN
National Provider Identifier
1770163164
Registry record updated Apr 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FREE YOUR MIND COUNSELING, INC.
Practice address
22791 Juneberry CT
Elkhart, IN 46514-9152
Phone
(574) 400-5158
Fax
(574) 701-2700
NPI assigned
Apr 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2021

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

Authorized official

Name
Mrs. Angela Patricia Garcia, LMHC, NCC, M.ED.NPI 1316413248
Title
Owner, President, Ceo
Phone
(574) 400-5158

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

22791 Juneberry CT
Elkhart, IN 46514-9152

Mailing address

22791 Juneberry CT
Elkhart, IN 46514-9152
Phone (574) 400-5158

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.freeyourmindcounsel.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1618012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618012800000",
    "number": "1770163164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22791 JUNEBERRY CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465149152",
            "telephone_number": "574-400-5158",
            "fax_number": "574-701-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22791 JUNEBERRY CT",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465149152",
            "telephone_number": "574-400-5158",
            "fax_number": "574-701-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE YOUR MIND COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-10",
        "last_updated": "2021-04-10",
        "certification_date": "2021-04-10",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT, CEO",
        "authorized_official_telephone_number": "574-400-5158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC, NCC, M.ED."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.freeyourmindcounsel.com",
            "affiliation": "N",
            "endpointDescription": "business website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "22791 Juneberry Ct",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465149152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2021; 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.