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ELIJAH L FREEMAN MS, LPC
NPI 1366193385
Counselor - Professional in Appleton, WI

Active since January 11, 2022PECOS EnrolledAccepts Medicare Assignment
2500 E ENTERPRISE AVE STE B, APPLETON, WI 54913(920) 416-8577(920) 416-8581 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elijah L Freeman Ms, Lpc NPPES

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

ELIJAH L FREEMAN MS, LPC (NPI 1366193385) is an individual professional provider in Appleton, Wisconsin, licensed in Wisconsin (10696) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366193385
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameELIJAH L FREEMANCredential: MS, LPC
Location Address2500 E ENTERPRISE AVE STE BAppleton, WI 54913-8556
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Phone(920) 416-8577
Fax(920) 416-8581
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 11, 2022
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1366193385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 10696
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 2804 (MN), 5175 (WI)
2500 E ENTERPRISE AVE STE B, Appleton, WI 54913
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security 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 and accepts Medicare assignment

Elijah L Freeman Ms, Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911437108
PECOS Enrollment IDI20250203002391
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 Elijah Freeman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nystrom & Associates Counseling Wi., S.C.
148 mi
Mental Health (Including Community Mental Health Center)
201 MAIN ST STE 500
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Nystrom & Associates Counseling Wi Sc
  • 133 clinicians in this Medicare group
NPI 1659977866 (651) 379-1750

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 13

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

SUSANNE D WESLE LPC
Counselor (Professional)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
SARAH JEAN MOTACEK LCSW
Social Worker (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
HEATHER MICHELE DUZYNSKI APNP, RN
Nurse Practitioner (Psychiatric/Mental Health)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
GABRIELLE CASSANDRA JOCHMAN LCSW
Social Worker (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
PAUL J KLUZ LPC
Counselor (Professional)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
BRYNN A SYTSMA PSY.D.
Psychologist (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
EMILY L SCHULTZ LCSW
Social Worker (Clinical)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577
MARY STAMPLE APNP
Nurse Practitioner (Psychiatric/Mental Health)
2500 E ENTERPRISE AVE STE B
APPLETON, WI 54913
Outagamie County (920) 416-8577

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 Elijah Freeman's NPI number?

The NPI number for Elijah Freeman is 1366193385. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Where is Elijah Freeman located?

Elijah Freeman practices at 2500 E Enterprise Ave Ste B, Appleton, WI 54913. The listed phone number is (920) 416-8577.

What is Elijah Freeman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Elijah Freeman enrolled in Medicare?

Yes. Elijah Freeman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elijah Freeman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elijah Freeman reassigns Medicare benefits to Nystrom & Associates Counseling Wi., S.C. (La Crosse, WI). 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 Elijah Freeman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elijah Freeman accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan and UnitedHealthcare list Elijah 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 Elijah Freeman was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.