Freedom Collective Therapy Group
Freedom Collective Therapy Group is a healthcare organization registered as Mental Health Counselor in Lake Forest, CA, holding Type 2 (organization) NPI 1912687708 since 2023. The authorized official on file is Chandra Medina, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1912687708 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Freedom Collective Therapy Group |
| Other name | <Unavail> |
| Practice address | 22792 CENTRE DR STE 104, Lake Forest, CA, 92630 |
| Phone | 7143263722 |
| Enumeration date | 2023-07-18 |
| Last updated in NPPES | 2023-07-27 |
Authorized official
| Name | Chandra Medina |
|---|---|
| Title | Owner |
| Phone | 7143263722 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | Secondary | — | — |
| 101YM0800X | Mental Health Counselor | Primary | — | — |
Copy-ready billing details
Provider: Freedom Collective Therapy Group NPI: 1912687708 Taxonomy: 101YM0800X (Mental Health Counselor) Address: 22792 CENTRE DR STE 104, Lake Forest, CA, 92630
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1174242564 | Zoom Therapy Services LLC | Organization | Clinic/Center | Lake Forest, CA |
| 1467285478 | Chandra Medina, Marriage and Family Therapy Inc | Organization | Mental Health Counselor | Lake Forest, CA |
Verify this record
Cross-check NPI 1912687708 against the authoritative CMS record: view Freedom Collective Therapy Group on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Freedom Collective Therapy Group?
Who is the authorized official for Freedom Collective Therapy Group?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-07-27.