Daniel Lynn Free, MA LCPC
Counselor, Professional in Maryville, IL. Individual provider (NPI-1).
NPI number1376101113
StatusActive
Last updated in NPPESJun 4, 2025
Details
- NPI
- 1376101113
- Entity type
- Individual (NPI-1)
- Name
- Mr. Daniel Lynn Free
- Credential
- MA LCPC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2019
- Certification date
- Jun 4, 2025
- Last updated
- Jun 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 180.012522 | IL | Yes |
| 101YP2500X | Counselor, Professional | 178.011537 | IL |
Practice location
8 Professional Park DrMaryville, IL 62062-5672
Phone 314-246-0561 · Fax 855-719-2556
Mailing address
16 Timber Meadows PlEdwardsville, IL 62025-5514
Phone 618-219-6781
Other practice locations
16a Professional Park Dr
Maryville, IL 62062-5853
Maryville, IL 62062-5853
Phone 314-246-0561 · Fax 855-719-2556
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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