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Elijah L Freeman , MS, LPC

Counselor - Professional β€’ Appleton, WI

Active NPI 1366193385 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

2500 E Enterprise Ave Ste B
Appleton, WI 549138556

Call 9204168577 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2500 E Enterprise Ave Ste B

Appleton, WI 549138556

Telephone 9204168577
Fax 9204168581
Organization at the Same NPPES Address or Phone
Nystrom & Associates Counseling Wi., S.c. Facility NPI 1104549047

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Nystrom And Associates Counseling Wi Sc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Elijah Freeman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Elijah Freeman as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

193 active clinicians are listed under Counselor - Professional with a practice address in Appleton, WI (4,461 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

4.7% of these 193 clinicians have the CMS telehealth indicator.

18.1% of these 193 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-27
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES WI 10696
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES MN 2804
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES WI 5175
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250203002391

Enrollment State Jurisdiction

WI

PECOS Control ID

7911437108

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Nystrom And Associates Counseling Wi Sc

2500 E Enterprise Ave, Appleton, WI 549138556

Phone: 9204168577

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Heather Duzynski , APNP, RN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1376317743

Advanced Practice Nurse Prescriber, Registered Nurse

Gabrielle Jochman , LCSW

Social Worker - Clinical

NPI 1407486541

Licensed Clinical Social Worker

Erica Micele , LCSW

Social Worker - Clinical

NPI 1841961570

Licensed Clinical Social Worker

Sarah Motacek , LCSW

Social Worker - Clinical

NPI 1184089864

Licensed Clinical Social Worker

Erin Oxley , PA-C

Physician Assistant

NPI 1659725976

Physician Assistant (Certified)

Mary Stample , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1750096145

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location January 27, 2025

Registered at 2500 E ENTERPRISE AVE STE B, APPLETON, WI 549138556 (Tel: 9204168577)

πŸ“
Updated Business Mailing Address January 27, 2025

Registered at 1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 551121789 (Tel: 6516289566)

πŸ‘€
Provider Name / Credentials Updated January 27, 2025

Recorded as ELIJAH FREEMAN, MS, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2025

Counselor (license number reported to NPPES: MN 2804)

βœ…
NPI Profile Active January 11, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 11, 2022

Registered at 1810 APPLETON RD, MENASHA, WI 549521164 (Tel: 9207394226)

πŸ“
Business Mailing Address (Initial Record) January 11, 2022

Registered at PO BOX 22308, GREEN BAY, WI 543052308 (Tel: 9204366800)

πŸ‘€
Provider Name / Credentials (Initial Record) January 11, 2022

Recorded as ELIJAH FREEMAN, MS, LPC-IT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Counselor (license number reported to NPPES: WI 5175)

🟒
Initial NPI Registration & Enumeration January 11, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1366193385
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2022
Last Update: January 27, 2025
Sole Proprietor: No

Mailing Address

1900 Silver Lake Rd Nw Ste 110

New Brighton, MN 551121789

Phone: 6516289566

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.