Individual provider Active NPI

Stephanie June Freeman, MS, MBA, LPC

  • Professional Counselor
  • Holden, WV
National Provider Identifier
1891446159
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3248 Issued in WV
Practice address
3476 Holden Rd
Holden, WV 25625-9715
Phone
(304) 687-4715
NPI assigned
Jan 18, 2022
Last updated
Jul 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3248 WV
Professional Counselor 101YP2500X 3248 WV Primary

Addresses

Primary practice location

3476 Holden Rd
Holden, WV 25625-9715

Mailing address

3476 Holden Rd
Holden, WV 25625-9715
Phone (304) 687-4715

Other identifiers 1

IdentifierTypeStateIssuer
15713157OtherWVCAQH

Other names 1

  • Stephanie June McKenzie Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
273WVMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Logan Professional Counseling Services CurrentSince Aug 1, 2022 Accepting new patients
Logan Professional Counseling Services Professional CurrentSince Aug 1, 2022 Accepting new patients
Chaos & Kindness Behavioral Health Services, LLC Professional Past Accepting new patients

Locations

101 Dingess St
Logan, WV 25601
Phone (304) 688-9269

Organizations & group practices 3

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": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1891446159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3476 HOLDEN RD",
            "city": "HOLDEN",
            "state": "WV",
            "postal_code": "256259715",
            "telephone_number": "304-687-4715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3476 HOLDEN RD",
            "city": "HOLDEN",
            "state": "WV",
            "postal_code": "256259715",
            "telephone_number": "304-687-4715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "STEPHANIE",
        "middle_name": "JUNE",
        "credential": "MS, MBA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "3248",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "15713157",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MCKENZIE",
            "middle_name": "JUNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holden, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; 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.