=====================================================
General NPI Number Information
=====================================================
NPI Number | 1780541458
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FREEDOM HAPPY COUNSELING LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2026
-----------------------------------------------------
Last Update Date | 01/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10 MAZZEO DR STE 216
-----------------------------------------------------
City | RANDOLPH
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02368-3433
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-270-3733
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 2591
-----------------------------------------------------
City | NATICK
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 01760-0019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-270-3733
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PSYCHOTHERAPIST
-----------------------------------------------------
Name | KADIAN JAMES
-----------------------------------------------------
Credential | LICSW
-----------------------------------------------------
Telephone | 774-270-3733
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------