ELIZABETH ADAIR FREESE LAC
NPI 1407479645
Counselor - Professional in Phoenix, AZ
About Elizabeth Adair Freese Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH ADAIR FREESE LAC (NPI 1407479645) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LAC-16948) and active in the NPI registry since May 2020. She has opted out of Medicare through May 22, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Elizabeth Adair Freese Lac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2024 through May 22, 2028.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Elizabeth Freese's NPI number?
The NPI number for Elizabeth Freese is 1407479645. It was assigned to this individual provider in the NPPES registry on May 22, 2020.
Where is Elizabeth Freese located?
Elizabeth Freese practices at 19636 N 27th Ave Ste 106, Phoenix, AZ 85027. The listed phone number is (480) 712-4600.
What is Elizabeth Freese's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Elizabeth Freese enrolled in Medicare?
No. Elizabeth Freese has opted out of Medicare through May 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Elizabeth Freese was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Elizabeth Adair Freese, LAC · NPI 1407479645
Professional provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since May 22, 2020.
## Identity
- **NPI:** 1407479645 (Entity type: Individual)
- **Enumerated:** May 22, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LAC-16948 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 19636 N 27TH AVE STE 106, Phoenix, AZ 85027-4014
- **Phone:** (480) 712-4600
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** May 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1407479645) · Data from the CMS NPPES public registry.