Organization Active NPI

Pearce Mental Health Counseling Services PLLC

Doing business as Pearce Counseling Services

  • Mental Health Counselor
  • Freeport, NY
National Provider Identifier
1417504531
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PEARCE MENTAL HEALTH COUNSELING SERVICES PLLC
Doing business as
Pearce Counseling Services
Practice address
168 Connecticut Ave
Freeport, NY 11520-1531
Phone
(516) 993-6815
NPI assigned
Aug 22, 2019
Last updated
Oct 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Jacqueline Pearce, LMHCNPI 1699172759
Title
Owner
Phone
(516) 993-6815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

168 Connecticut Ave
Freeport, NY 11520-1531

Mailing address

168 Connecticut Ave
Freeport, NY 11520-1531
Phone (516) 993-6815

Other names 1

  • Pearce Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241108002584 NY Part B Supplier - Clinic/Group Practice 3971037276 Receives reassigned benefits from 1 practitioner
Practice locations: Freeport, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1417504531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CONNECTICUT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201531",
            "telephone_number": "516-993-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CONNECTICUT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201531",
            "telephone_number": "516-993-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARCE MENTAL HEALTH COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-993-6815",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearce Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearce Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.