Individual provider Active NPI

Marc A Freese

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1982978243
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-0122 Issued in AZ
Practice address
4451 E Oak St
Phoenix, AZ 85008-2410
Phone
(602) 685-6000
NPI assigned
Mar 5, 2012
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-0122 AZ Primary

Addresses

Primary practice location

4451 E Oak St
Phoenix, AZ 85008-2410

Mailing address

202 E Earll Dr Ste 200
Phoenix, AZ 85012-2647
Phone (602) 685-6000

Other practice location 1

20402 N 15th Ave
Phoenix, AZ 85027-3636
Phone (623) 445-4952

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20240125002238 AZ Practitioner - Mental Health Counselor 5496108565 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-0122AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Terros, Inc. CurrentSince May 10, 2024 Accepting new patients
Terros, Inc. Past Accepting new patients

Locations

202 E Earll Dr
Ste 200
Phoenix, AZ 85012
Phone (602) 599-5404

3003 N Central Ave
Ste 200
Phoenix, AZ 85012
Phone (602) 685-6132

3003 N Central Ave
Ste 400
Phoenix, AZ 85012
Phone (602) 351-3015

4451 E Oak St
Phoenix, AZ 85008
Phone (602) 957-2220

4909 E McDowell Rd
Phoenix, AZ 85008
Phone (602) 244-9591

Interoperability endpoints

  • Direct secure messaging: marc.freeselpc.p1@direct.terros.nextgenshare.com

Organizations & group practices 2

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": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1982978243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E EARLL DR STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122647",
            "telephone_number": "602-685-6000",
            "fax_number": "602-302-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 E OAK ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850082410",
            "telephone_number": "602-685-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20402 N 15th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850273636",
            "country_code": "US",
            "telephone_number": "623-445-4952",
            "fax_number": "623-445-5095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREESE",
        "first_name": "MARC",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-05",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-0122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.