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MR. KENNETH WAYNE FREEMAN SR. LPC
NPI 1255047981
Counselor - Mental Health in Fountain, MN

Active since January 26, 2023PECOS Enrolled
102 SPRUCE ST SE, FOUNTAIN, MN 55935(507) 884-2456 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2024, Jan 26, 2023 (2 updates tracked since 2023).

About Mr. Kenneth Wayne Freeman Sr. Lpc NPPES

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

MR. KENNETH WAYNE FREEMAN SR. LPC (NPI 1255047981) is an individual mental health provider in Fountain, Minnesota, licensed in Indiana (39004515A) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255047981
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH WAYNE FREEMAN SR.Credential: LPC
Location Address102 SPRUCE ST SEFountain, MN 55935-8825
Mailing Address102 Spruce St SeFountain, MN 55935-8825 · (507) 884-2456
Phone(507) 884-2456
Sole ProprietorYes
Enumeration DateJanuary 26, 2023
Last NPPES UpdateJuly 10, 20242 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
✔ NPI 1255047981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IN · 39004515A
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 02712 (MN)
102 SPRUCE ST SE, Fountain, MN 55935
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth Wayne Freeman Sr. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Freeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifespring Inc.
459 mi
Federally Qualified Health Center (FQHC)
480 EVERSMAN DR
Jasper, IN 47546
  • Reassigned Medicare billing, Indiana enrollment
  • 119 clinicians in this Medicare group
NPI 1023681889 (812) 280-2080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

SHAYLYN FREEMAN
Counselor (Mental Health)
102 SPRUCE ST SE
FOUNTAIN, MN 55935
Fillmore County (507) 884-2445

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Freeman's NPI number?

The NPI number for Kenneth Freeman is 1255047981. It was assigned to this individual provider in the NPPES registry on January 26, 2023.

Where is Kenneth Freeman located?

Kenneth Freeman practices at 102 Spruce St SE, Fountain, MN 55935. The listed phone number is (507) 884-2456.

What is Kenneth Freeman's specialty?

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

Is Kenneth Freeman enrolled in Medicare?

Yes. Kenneth Freeman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenneth Freeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Freeman reassigns Medicare benefits to Lifespring Inc. (Jasper, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Freeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenneth Freeman accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Buckeye Health Plan and Ambetter from Louisiana Healthcare Connections and 8 other insurers list Kenneth Freeman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Freeman was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.