Active NPI
Tabitha Joy Pearson
- Counselor
- Canton, OH
National Provider Identifier
1184135667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C.2405464
- Practice address
- 1524 Vassar Ave NW
Canton, OH 44703-1621 - Phone
- (330) 437-6649
- NPI assigned
- Oct 24, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | ||
| Counselor | 101Y00000X | C.2405464 | OH | Primary |
Addresses
Primary practice location
1524 Vassar Ave NW
Canton, OH 44703-1621
Mailing address
1524 Vassar Ave NW
Canton, OH 44703-1621
Phone (330) 437-6649
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.2405464 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1184135667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 VASSAR AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447031621",
"telephone_number": "330-437-6649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 VASSAR AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447031621",
"telephone_number": "330-437-6649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "TABITHA",
"middle_name": "JOY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-24",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C.2405464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.