Individual provider Active NPI

Sarah E Freeman, LPCC-S

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1992009070
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
104155 Issued in KY
Practice address
1609 Media Dr
Bowling Green, KY 42101-2707
Phone
(270) 202-7669
NPI assigned
Jan 4, 2011
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X KY-1140 KY
Mental Health Counselor 101YM0800X 104155 KY Primary

Addresses

Primary practice location

1609 Media Dr
Bowling Green, KY 42101-2707

Mailing address

1418 Jenny CT
Bowling Green, KY 42103-4764
Phone (270) 202-7669

Other practice location 1

1418 Jenny Ct
Bowling Green, KY 42103-4764
Phone (270) 202-7669

Other identifiers 1

IdentifierTypeStateIssuer
7100290390MedicaidKY

Other names 1

  • Sarah E Freeman Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://npiregistry.cms.hhs.gov Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
104155KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluegrass Counseling & Wellness CurrentSince Oct 30, 2022 Accepting new patients

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": "1294099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1992009070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 JENNY CT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421034764",
            "telephone_number": "270-202-7669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MEDIA DR",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012707",
            "telephone_number": "270-202-7669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1418 Jenny Ct",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421034764",
            "country_code": "US",
            "telephone_number": "270-202-7669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "SARAH",
        "middle_name": "E",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-04",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "KY-1140",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "104155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100290390",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://npiregistry.cms.hhs.gov",
            "affiliation": "N",
            "endpointDescription": "npi registry",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1418 Jenny Ct",
            "city": "Bowling Green",
            "state": "KY",
            "country_code": "US",
            "postal_code": "421034764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "FREEMAN",
            "middle_name": "E",
            "credential": "SARAH WICKMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.