Individual provider Active NPI

Alexandra Jade Freeman, LPC

  • Professional Counselor
  • Winfield, KS
National Provider Identifier
1780307108
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
22214 D St
Winfield, KS 67156-7376
Phone
(620) 221-9664
Fax
(620) 442-4559
NPI assigned
Sep 21, 2022
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 NU Primary

Addresses

Primary practice location

22214 D St
Winfield, KS 67156-7376

Mailing address

PO Box 688
Independence, KS 67301-0688
Phone (620) 331-1748

Other practice location 1

140 N Hydraulic St Ste 1000
Wichita, KS 67214-4246
Phone (316) 444-0110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20241010001551 KS Practitioner - Mental Health Counselor 0143752584 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Moxie Counseling LLCGroup PAC ID 2567909047, 2 clinicians

Practice addresses (Care Compare)

128 S Oakwood St
Wichita, KS 67218-1728
Phone (316) 444-0110

330 E Madison Ave
Suite B6
Derby, KS 67037-1739
Phone (580) 401-5133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling by Aj, LLC CurrentSince Oct 16, 2024 Accepting new patients
Four County Mental Health Center, Inc. CurrentSince Jul 25, 2024 Accepting new patients
Moxie Counseling LLC Professional CurrentSince Oct 21, 2024 Accepting new patients
Four County Mental Health Center Inc CurrentSince Jul 25, 2024 Accepting new patients
Cowley County Mental Health Center PastSince Sep 25, 2022 Accepting new patients

Locations

330 E Madison Ave
Ste B6
Derby, KS 67037
Phone (316) 247-1102

3354 Highway 160
Independence, KS 67301
Phone (620) 331-1260

140 N Hydraulic St
Ste 1000
Wichita, KS 67214
Phone (316) 444-0110

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1780307108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 688",
            "city": "INDEPENDENCE",
            "state": "KS",
            "postal_code": "673010688",
            "telephone_number": "620-331-1748",
            "fax_number": "620-332-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22214 D ST",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671567376",
            "telephone_number": "620-221-9664",
            "fax_number": "620-442-4559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 N Hydraulic St Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144246",
            "country_code": "US",
            "telephone_number": "316-444-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "ALEXANDRA",
        "middle_name": "JADE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.