Julian Robert Pearson Jr., MSP, MCAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MCAP100465 Issued in FL

Practice address

4250 Lakeside Dr Ste 213
Jacksonville, FL 32210-3369

Phone

(904) 389-3784

Fax

(904) 389-4618

NPI assigned

May 5, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Greenfield Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jacksonville, FL
  • NPI 1952484438
  NPD

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1376288191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 LAKESIDE DR STE 213",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103369",
            "telephone_number": "904-389-3784",
            "fax_number": "904-389-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 LAKESIDE DR STE 213",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322103369",
            "telephone_number": "904-389-3784",
            "fax_number": "904-389-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JULIAN",
        "middle_name": "ROBERT",
        "name_suffix": "Jr.",
        "credential": "MSP, MCAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pearle Vision Inc
• Christine Pearson
• Danny Pearson
• Elizabeth T Pearson, M.S., CCC-A
• Frank Pearson
• Kathryn Pearson, MD
• Lindsey Putnam Pearson, APRN
• Sarah Pearson
• Sasha Pearson
• Tonya Peters Pearson, PHARMD

• Addiction (Substance Use Disorder) Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.