Individual provider Active NPI

Tonya K Freeman, LMHC

  • Mental Health Counselor
  • Destin, FL
National Provider Identifier
1992708432
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6020 Issued in FL
Practice address
34990 Emerald Coast Pkwy Ste 320
Destin, FL 32541-8662
Phone
(850) 837-8222
Fax
(850) 837-8280
NPI assigned
May 28, 2005
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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 MH 6020 FL
Mental Health Counselor 101YM0800X MH6020 FL Primary

Addresses

Primary practice location

34990 Emerald Coast Pkwy Ste 320
Destin, FL 32541-8662

Mailing address

Freeman Clinical Counseling Center P.O. Box 5733
Destin, FL 32540
Phone (850) 837-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 8, 2024 through May 8, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH 6020FLMDMental Health Counselor
MH6020FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Freeman Clinical Counseling Center Mental Health CurrentSince Jun 1, 2021 Accepting new patients

Locations

34990 Emerald Coast Pkwy
Ste 320
Destin, FL 32541
Phone (850) 837-8222

4507 Furling Ln
Ste 208
Destin, FL 32541

Organizations & group practices 1

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": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1992708432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FREEMAN CLINICAL COUNSELING CENTER P.O. BOX 5733",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "32540",
            "telephone_number": "850-837-8222",
            "fax_number": "850-837-8280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34990 EMERALD COAST PKWY STE 320",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325418662",
            "telephone_number": "850-837-8222",
            "fax_number": "850-837-8280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "TONYA",
        "middle_name": "K",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6020",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

Verify at the official NPI Registry.