Active NPI
Stephanie June Freeman, MS, MBA, LPC
- Professional Counselor
- Holden, WV
National Provider Identifier
1891446159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3248
- Practice address
- 3476 Holden Rd
Holden, WV 25625-9715 - Phone
- (304) 687-4715
- NPI assigned
- Jan 18, 2022
- Last updated
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15713157 | Other | WV | CAQH |
Other names 1
- Stephanie June McKenzie
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
| License | State | Type | Specialty |
|---|---|---|---|
| 273 | WV | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Professional Counseling Services | Current | Accepting new patients | |
| Logan Professional Counseling Services | Professional | Current | 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.
-
- Professional Counselor
- Holden, WV
- NPI 1215858741
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Logan, WV
- NPI 1851047385
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Logan, WV
- NPI 1891347704
Professional
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.