NPIMap

Individual provider Active NPI

Jeremy Pearson, LAC

  • Addiction (Substance Use Disorder) Counselor
  • Denver, CO
National Provider Identifier
1104670827
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD0002466 Issued in CO
Practice address
4242 Delaware St
Denver, CO 80216-2618
Phone
(303) 825-8113
NPI assigned
Apr 17, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 28

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.

View all 28

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 919
Aurora, CO 80040-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20260303004115 CO Practitioner - Mental Health Counselor 0648761783 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD0002466COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) CurrentSince Sep 21, 2025 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse CurrentSince Sep 21, 2025 Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Addiction (Substance Use Disorder) Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients
Mile High Council on Alcoholism and Drug Abuse Past Accepting new patients

Locations

10190 E Montview Blvd
Aurora, CO 80010
Phone (303) 318-4242

2178 Victor St
Aurora, CO 80045
Phone (303) 341-9160

4242 Delaware St
Denver, CO 80216
Phone (720) 382-5900

3460 S Federal Blvd
Sheridan, CO 80110
Phone (303) 761-0200

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD0002466 CO Primary

Addresses

NPPES NPI Registry

Primary practice location

4242 Delaware St
Denver, CO 80216-2618

Mailing address

4242 Delaware St
Denver, CO 80216-2618
Phone (303) 825-8113

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 17, 2024.

{
    "created_epoch": "1713312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1104670827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 DELAWARE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162618",
            "telephone_number": "303-825-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 DELAWARE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802162618",
            "telephone_number": "303-825-8113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JEREMY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-17",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD0002466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.