Active NPI
Collin Jeremiah Pearman, LPC
- Professional Counselor
- Kansas City, MO
National Provider Identifier
1073063061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2022014611
- Practice address
- 8301 State Line Rd.
Ste. 220 #772
Kansas City, MO 64114-2025 - Phone
- (913) 730-5700
- NPI assigned
- Oct 13, 2016
- Last updated
- May 4, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2022014611 | MO | Primary |
Addresses
Primary practice location
8301 State Line Rd.
Ste. 220 #772
Kansas City, MO 64114-2025
Mailing address
8301 State Line Rd.
Ste. 220 #772
Kansas City, MO 64114-2025
Phone (913) 730-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1272 NE Windsor Dr
Healing Couns CTRS
Lees Summit, MO 64086-5594
Phone (816) 246-4465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022014611 | MO | MD | Professional Counselor |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Healing Grace Counseling Center
- Professional Counselor
- Lee's Summit, MO
- NPI 1346417706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1073063061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8301 STATE LINE RD.",
"address_2": "STE. 220 #772",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641142025",
"telephone_number": "913-730-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8301 STATE LINE RD.",
"address_2": "STE. 220 #772",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641142025",
"telephone_number": "913-730-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARMAN",
"first_name": "COLLIN",
"middle_name": "JEREMIAH",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-13",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2022014611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.