Active NPI
Lisa Pearson, MA
- Professional Counselor
- Baltimore, MD
National Provider Identifier
1154563740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC2975
- Practice address
- 5110 Frederick Ave
Baltimore, MD 21229-3218 - Phone
- (410) 893-4600
- NPI assigned
- Mar 30, 2009
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC2975 | MD | Primary |
Addresses
Primary practice location
5110 Frederick Ave
Baltimore, MD 21229-3218
Mailing address
2227 Old Emmorton Rd
119
Bel Air, MD 21015-6187
Phone (410) 893-4600
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC2975 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safe Harbor Christian Counseling | Professional | Past | Accepting new patients |
| Safe Harbor Christian Counseling LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Professional Counselor
- Baltimore, MD
- NPI 1215308564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1154563740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 OLD EMMORTON RD",
"address_2": "119",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156187",
"telephone_number": "410-893-4600",
"fax_number": "410-569-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5110 FREDERICK AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212293218",
"telephone_number": "410-893-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "LISA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-30",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC2975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.