Active NPI
Marlo Patrice Pearson
- Counselor
- Longwood, FL
National Provider Identifier
1124754478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2290 N Ronald Reagan Blvd Ste 116
Longwood, FL 32750-3534 - Phone
- (407) 215-0095
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2290 N Ronald Reagan Blvd Ste 116
Longwood, FL 32750-3534
Mailing address
2290 N Ronald Reagan Blvd Ste 116
Longwood, FL 32750-3534
Phone (407) 215-0095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impower, Inc | Counselor | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1124754478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2290 N RONALD REAGAN BLVD STE 116",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503534",
"telephone_number": "407-215-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2290 N RONALD REAGAN BLVD STE 116",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327503534",
"telephone_number": "407-215-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "MARLO",
"middle_name": "PATRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.