SHUNDRA BROWN FREEMAN
NPI 1093578585
Counselor - Mental Health in Milton, FL

Q: What is Shundra Freeman's NPI number?

The NPI number for Shundra Freeman is 1093578585. It was assigned to this individual provider in the NPPES registry on February 6, 2024.

Q: What is Shundra Freeman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Shundra Freeman was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 06, 2024PECOS Enrolled

5642 JONES ST, MILTON, FL 32570(850) 626-7779(850) 626-7171 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Feb 6, 2024 (2 updates tracked since 2024).

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About Shundra Brown Freeman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHUNDRA BROWN FREEMAN (NPI 1093578585) is an individual mental health provider in Milton, Florida, licensed in Florida (IMH25355) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1093578585

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSHUNDRA BROWN FREEMAN

Location Address5642 JONES STMilton, FL 32570-2304

Mailing Address5642 Jones StMilton, FL 32570-2304 · (850) 626-7779 · Fax (850) 626-7171

Phone(850) 626-7779

Fax(850) 626-7171

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateFebruary 6, 2024

Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1093578585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in FL · IMH25355

5642 JONES ST, Milton, FL 32570

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shundra Brown Freeman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557844362

PECOS Enrollment IDI20260310003836

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CASEY FLETCHER LCSW

Social Worker (Clinical)