Organization Active NPI

Freedom Counseling LLC

  • Clinical Social Worker
  • Kennewick, WA
National Provider Identifier
1861832297
Registry record updated Dec 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW60343993 Issued in WA
Legal business name
FREEDOM COUNSELING LLC
Practice address
8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678
Phone
(509) 539-3730
Fax
(833) 471-3350
NPI assigned
Jun 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2018

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

Authorized official

Name
Brenda J Hollingsworth, LICSWNPI 1578880001
Title
Owner
Phone
(509) 539-3730

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LW60343993 WA Primary

Addresses

Primary practice location

8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678

Mailing address

8350 W Grandridge Blvd Ste 200
Kennewick, WA 99336-1678
Phone (509) 539-3730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130719000765 WA Part B Supplier - Clinic/Group Practice 9537300348 Receives reassigned benefits from 1 practitioner
Practice locations: Kennewick, WA

National Provider Directory

National Provider Directory

Locations

8350 W Grandridge Blvd
Ste 200
Kennewick, WA 99336
Phone (509) 528-9593

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": "1372464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545177600000",
    "number": "1861832297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-539-3730",
            "fax_number": "833-471-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W GRANDRIDGE BLVD STE 200",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993361678",
            "telephone_number": "509-539-3730",
            "fax_number": "833-471-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-29",
        "last_updated": "2018-12-19",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-539-3730",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60343993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2018; 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.