MR. JUSTIN WARD FREEMAN (NPI# 1649392952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649392952 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN WARD FREEMAN |
| Credential | M.A., LCPC |
| Practice Address |
220 N Morgan St Shelbyville IL 62565-1671 |
| Practice Telephone | 2172592366 |
| Practice Fax Number | 2177749596 |
| Mailing Telephone | 2172592366 |
| Mailing Fax Number | 2177749596 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD ID | 0008732006 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952719866 | Justin Luke Freeman | Specialist/Technologist | 118 Bobcat Cir, Bozeman, MT 59715 | 2014-07-24 |
| 1043687262 | Justin Freeman | Pharmacist | 555 N Main St, Canton, IL 61520-1829 | 2015-08-24 |
| 1326389149 | Justin Turner Freeman | Case Manager/Care Coordinator | 125 Dons Way, Hot Springs, AR 71913-6478 | 2013-03-04 |
| Street Address |
220 N MORGAN ST |
| City | SHELBYVILLE |
| State | IL |
| Zip Code | 62565-1671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003463530 | Ethan Turner | Physical Therapist | 2100 W. South 3rd, Shelbyville, IL 62565 | 2019-08-20 |
| 1467963512 | Marnelle Kathryn Oligschlaeger | Speech-Language Pathologist | 1101 Wn 6th St, Shelbyville, IL 62565 | 2017-10-17 |
| 1326290214 | Brown Dental Care Ltd | Dentist | 101 W N 1st, Shelbyvile, IL 62565 | 2008-10-22 |
| 1639396898 | Aaron Bryce Snyder | Chiropractor | 504 Rt. 128, Shelbyville, IL 62565 | 2007-04-19 |
| 1710042833 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2607 W Main St, Shelbyville, IL 62565 | 2006-12-27 |
| 1891856126 | Jamie Dawn Jefson | Pharmacist | 1603 W. Main Street, Shelbyville, IL 62565 | 2006-12-12 |
| 1790875805 | Brian L Hastings | Dentist | 101 S Vine, Suite 2, Shelbyville, IL 62565 | 2006-10-13 |
| 1598852345 | Dennis Fisher | Massage Therapist | 112 North Broadway Street, Shelbyville, IL 62565 | 2006-10-05 |
| 1255434866 | Katherine Lynn Harley | Chiropractor | 1117 W North First St, Shelbyville, IL 62565 | 2006-09-07 |
| 1013029933 | Renal Therapies LLC | Clinic/Center | 410 S. Heinlein Dr., Shelbyville, IL 62565 | 2006-08-31 |
| Find all providers in zip 62565 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922639053 | Bradi Gordon | Counselor | 215 W North 9th St, Shelbyville, IL 62565-1015 | 2020-01-28 |
| 1871144980 | Janet R. Lamb | Counselor | 304 E Depot St, Shelbyville, TN 37160-4028 | 2019-09-20 |
| 1316431620 | Sparrow Counseling & Consultation LLC | Counselor | 712 Washington St Unit 1, Shelbyville, KY 40065-1248 | 2018-06-20 |
| 1841701745 | David Christopher Mitchell | Counselor | 115 Terhune Ln, Shelbyville, KY 40065-9235 | 2017-10-18 |
| 1982065538 | Brett Alan Corley | Counselor | 171 Alpine Dr, Shelbyville, KY 40065-8878 | 2016-03-10 |
| 1255727681 | Nancy Elizabeth Hudson | Counselor | 117 Mcgrew Street, Shelbyville, TN 37160 | 2015-04-13 |
| 1518302348 | Antoinette Taylor | Counselor | 1082 Dotland Cir, Shelbyville, KY 40065-9475 | 2013-05-07 |
| 1780699371 | Jennifer Ann Stephens | Counselor | 998 Brooks Industrial Rd, Shelbyville, KY 40065-8154 | 2006-07-30 |
| 1053924845 | Rachel A Archer | Counselor | 250 Alpine Dr, Shelbyville, KY 40065-8880 | 2020-08-31 |
| 1275144784 | Abbie Mcgohon | Counselor | 998 Brooks Industrial Rd, Shelbyville, KY 40065-8154 | 2020-08-10 |
| Find all providers in SHELBYVILLE | ||||
| City | SHELBYVILLE |
| Zip Code | 62565 |
Please comment or provide details below to improve the information on MR. JUSTIN WARD FREEMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.