Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elijah L Freeman, MS, LPC

Individual provider Mental Health Counselor · NPI 1366193385

Elijah L Freeman, MS, LPC is a Mental Health Counselor in Appleton, Wisconsin. Qualified in 2021, 5 years ago. Practices with Nystrom and Associates Counseling Wi SC, a 114-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
5
Licensed in
MN, WI
In the registry since
2022
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2500 E Enterprise Ave Ste B
Appleton, WI 54913-8556
Phone: (920) 416-8577
Fax: (920) 416-8581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 10696 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2804 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 5175 (WI)

Record details

NPI number1366193385
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC
Sole proprietorNo
NPI enumeratedJanuary 11, 2022
Last updated in NPPESJanuary 27, 2025
Certification dateJanuary 27, 2025
Mailing address1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nystrom And Associates Counseling Wi Sc — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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