Kent W Freeland, IMFT,PCC-S,LMFT,LCPC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

F0900002 Issued in OH

Practice address

2675 Medway New Carlisle Rd
Medway, OH 45341-9744

Phone

(937) 849-1257

Fax

(937) 849-1336

NPI assigned

Nov 16, 2006

Last updated

Dec 28, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Marriage and Family Therapist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wabash General Hospital DistrictGroup PAC ID 8022908185, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wabash General Hospital District

  • General Practice Physician
  • Mount Carmel, IL
  • NPI 1295834208
  Medicare reassignment Care Compare group NPD
• Wabash General Hospital District

  dba Albion Medical Clinic

  • Rural Health Clinic/Center
  • Albion, IL
  • NPI 1689148892
  NPD
• Wabash General Hospital District

  dba Wabash Community Healht Center Counseling

  • Federally Qualified Health Center (FQHC)
  • Mount Carmel, IL
  • NPI 1922645910
  NPD
• Angelia K Dussia Dba Aletheia Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medway, OH
  • NPI 1497822514
  NPD (past)

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1871666792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 CHESTNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631212",
            "telephone_number": "618-263-4970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 MEDWAY NEW CARLISLE RD",
            "city": "MEDWAY",
            "state": "OH",
            "postal_code": "453419744",
            "telephone_number": "937-849-1257",
            "fax_number": "937-849-1336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREELAND",
        "first_name": "KENT",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "IMFT,PCC-S,LMFT,LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004315",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E 09000386",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166-000606",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F0900002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber E Bolin
• Loretta Coffey
• Angelia K Dussia, MA, PCC, CDCA
• Lynn Marie Farney, PSY.D.
• Barbara L Farrell I, MSW LISW
• Penny Hines, OTR/L
• Garnet K.B. Holliday, RN, BSN, LCCE
• Kimberly Hutson
• Dawda Jawara
• Helen Marie Kiss, LPN

• Marriage & Family Therapist in Medway, OH
• Providers in Medway, OH by specialty
• Marriage & Family Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.