Anna Pearce, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW16854 Issued in FL

Practice address

4 9TH Ave Ste F
Shalimar, FL 32579-1742

Phone

(850) 290-2145

NPI assigned

Sep 18, 2021

Last updated

Sep 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Anna Pearce Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Healing Impact, Inc

  • Clinical Social Worker
  • Shalimar, FL
  • NPI 1154988772

  Mental Health

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631923200000",
    "number": "1295405496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 BRIAN CIR",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325691627",
            "telephone_number": "505-480-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 9TH AVE STE F",
            "city": "SHALIMAR",
            "state": "FL",
            "postal_code": "325791742",
            "telephone_number": "850-290-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "ANNA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "SW16854",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW16854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "PEARCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oral and Maxillofacial Surgery Associates
• Courtney Jean Osborne
• Mary Kate Pace, RDH
• Karly Parmer
• Cristina Paternina
• Cynthia L Peeterse, OD
• Angelina Marie Planas
• Dylan Plantz, DPT
• Brandy Diane Poindexter, M.S., CCC-SLP
• Myyonna Pride

• Mental Health Counselor in Shalimar, FL
• Providers in Shalimar, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.