Lancaster Freedom Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

367043 Issued in PA

Legal business name

LANCASTER FREEDOM CENTER

Practice address

436 N Lime St
Lancaster, PA 17602-2337

Phone

(717) 397-9118

Fax

(717) 397-3514

NPI assigned

Jul 27, 2006

Last updated

Sep 23, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Birmingham, LCSW, CACNPI 1962586271

Title

Program Director

Phone

(717) 397-9118

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Birmingham, LCSW

  • Mental Health Counselor
  • Lancaster, PA
  • NPI 1962586271
  NPD (past) Authorized official
• Danielle Taylor Heist, MS, LPC, CAADC, SAP

  • Professional Counselor
  • York, PA
  • NPI 1023205168

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1942224340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022337",
            "telephone_number": "717-397-9118",
            "fax_number": "717-397-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N LIME ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022337",
            "telephone_number": "717-397-9118",
            "fax_number": "717-397-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER FREEDOM CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BIRMINGHAM",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "717-397-9118",
        "authorized_official_credential": "LCSW, CAC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "367043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.