Active NPI
Nicole Pearson, LPC
- Professional Counselor
- Fairfield, CT
National Provider Identifier
1376174367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4240
- Practice address
- 1506 Post Rd
Fairfield, CT 06824-5916 - Phone
- (203) 293-6446
- NPI assigned
- Jan 29, 2020
- 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 | 4240 | CT | Primary |
Addresses
Primary practice location
1506 Post Rd
Fairfield, CT 06824-5916
Mailing address
34 Quailcrest Rd
East Lyme, CT 06333-1328
Phone (203) 414-9827
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 |
|---|---|---|---|
| 4240 | CT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681084800000",
"number": "1376174367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 QUAILCREST RD",
"city": "EAST LYME",
"state": "CT",
"postal_code": "063331328",
"telephone_number": "203-414-9827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068245916",
"telephone_number": "203-293-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "NICOLE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2023-04-10",
"certification_date": "2023-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "4240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.