William O. Pearson IV, LAMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

3577 Issued in MN

Practice address

Anne Carlsen Center
3030 24TH Ave S
Moorhead, MN 56560

Phone

(218) 443-2837

Fax

(218) 512-0206

NPI assigned

Jun 8, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anne Carlsen Center

  • Physical Therapist
  • Jamestown, ND
  • NPI 1598930109
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528416000000",
    "number": "1033602644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 UNIVERSITY DR N APT 316",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581021844",
            "telephone_number": "415-342-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ANNE CARLSEN CENTER",
            "address_2": "3030 24TH AVE S",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "56560",
            "telephone_number": "218-443-2837",
            "fax_number": "218-512-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "WILLIAM",
        "middle_name": "O.",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ND",
            "license": "2016-031A",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy A Paul, MS CCCSLP
• Sandra Kay Paul, MA/CCC-SLP
• Michael Dana Paulson, PHD
• Brittany Paulus
• Tausha May Pearson
• Hannah Marie Pederson
• Kelsi Pederson
• Elizabeth Pelton
• Lisa Marie Peralta Sullivan
• Sarah Perez-Hernandez

• Marriage & Family Therapist in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.