Active NPI
Freedom Management
- Community/Behavioral Health Agency
- Russell Springs, KY
National Provider Identifier
1790447274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FREEDOM MANAGEMENT
- Practice address
- 50 Luda St
Russell Springs, KY 42642-4512 - Phone
- (270) 858-5377
- NPI assigned
- Oct 12, 2021
- 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
- Mr. Alexander Williams
- Title
- C.E.O.
- Phone
- (502) 681-2490
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
50 Luda St
Russell Springs, KY 42642-4512
Mailing address
PO Box 571
Russell Springs, KY 42642-0571
Phone (502) 681-2490
Other names 1
- S.P.A.R.C.
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | alex@sparcrecovery.com | Direct |
National Provider Directory
National Provider Directory- Tax ID family
- Freedom Management
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction (Substance Use Disorder) Counselor
- Russell Springs, KY
- NPI 1619752607
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Russell Springs, KY
- NPI 1881489219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634256000000",
"number": "1790447274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 571",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426420571",
"telephone_number": "502-681-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LUDA ST",
"city": "RUSSELL SPRINGS",
"state": "KY",
"postal_code": "426424512",
"telephone_number": "270-858-5377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREEDOM MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-12",
"last_updated": "2021-10-15",
"certification_date": "2021-10-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_title_or_position": "C.E.O.",
"authorized_official_telephone_number": "502-681-2490",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "alex@sparcrecovery.com",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Russell Springs",
"address_1": "50 Luda St",
"city": "Russell Springs",
"state": "KY",
"country_code": "US",
"postal_code": "426424512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "S.P.A.R.C.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "S.P.A.R.C.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Russell Springs, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.