Active NPI
Tonya K Freeman, LMHC
- Mental Health Counselor
- Destin, FL
National Provider Identifier
1992708432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH6020
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 6020 | FL | MD | Mental Health Counselor |
| MH6020 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freeman Clinical Counseling Center | Mental Health | Current | 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.
-
- Mental Health Counselor
- Destin, FL
- NPI 1053582668
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
- Florida Neurosurgery and Spine Center PA (APEX Spine And Pain Center)
- Kristin Rose Fors, RN, IBCLC
- Fort Walton Beach Medical Center, Inc. (HCA Florida Destin Emergency, a department of HCA Florida Fort Walton-Destin Hospital)
- Foundations Medical Center PLLC
- Freeman Clinical Counseling Center
- John Charles French, PTA
- Elizabeth Frierson
- Sarah Katie Fulghum, PT
- Russell Pen Gaines, LMT
- John A. Galdamez, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.