Individual provider Active NPI

Victoria Jo-El Pearson, LMHC, CASAC

  • Mental Health Counselor
  • Jamaica, NY
National Provider Identifier
1154977924
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010054 Issued in NY
Practice address
130-38 146 Street
Jamaica, NY 11436
Phone
(347) 624-4623
NPI assigned
Aug 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 26226 NY
Mental Health Counselor 101YM0800X 18001434-00 NY
Mental Health Counselor 101YM0800X 010054 NY Primary

Addresses

Primary practice location

130-38 146 Street
Jamaica, NY 11436

Mailing address

13038 146TH St
Jamaica, NY 11436-2307
Phone (347) 624-4623

Other identifiers 2

IdentifierTypeStateIssuer
26226OtherNYNYS OFFICE OF ALCOHOLISM ANDSUBSTANCE ABUSE SERVICES
010054OtherNYNEW YORK STATE OFFICE OF PROFESSIONS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.Talkitoutmhc.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125000907 NY Practitioner - Mental Health Counselor 4082149224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18709 Linden Blvd
Saint Albans, NY 11412-4025
Phone (718) 500-5549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26226NYMDCounselor
18001434-00NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Talk It Out Mental Health Counseling PLLC Mental Health CurrentSince Apr 8, 2020 Accepting new patients

Locations

18709 Linden Blvd
Saint Albans, NY 11412
Phone (718) 500-5549

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": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1154977924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13038 146TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362307",
            "telephone_number": "347-624-4623",
            "fax_number": "917-725-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130-38 146 STREET",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11436",
            "telephone_number": "347-624-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "VICTORIA",
        "middle_name": "JO-EL",
        "credential": "LMHC, CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NY",
            "license": "26226",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18001434-00",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS OFFICE OF ALCOHOLISM ANDSUBSTANCE ABUSE SERVICES",
            "identifier": "26226",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE OFFICE OF PROFESSIONS",
            "identifier": "010054",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.Talkitoutmhc.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "130-38 146 Street",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.