Individual provider Active NPI

David Orrin Pearson, MA, LPC, LAT, CCHT

  • Professional Counselor
  • Sheridan, WY
National Provider Identifier
1447424312
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
413 Issued in WY
Practice address
1949 Sugarland Dr Ste 160
Sheridan, WY 82801-5764
Phone
(307) 752-5435
Fax
(307) 448-4800
NPI assigned
Apr 22, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1949 Sugarland Dr
Suite 160
Sheridan, WY 82801-5764
Phone (307) 752-5435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125001014 WY Practitioner - Mental Health Counselor 3971955196 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
289WYMDAddiction (Substance Use Disorder) Counselor
413WYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Griz-MTN Enterprises LLC Professional CurrentSince Dec 8, 2023 Accepting new patients

Locations

1949 Sugarland Dr
Ste 160
Sheridan, WY 82801
Phone (307) 752-5435

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 289 WY
Professional Counselor 101YP2500X 413 WY Primary

Addresses

NPPES NPI Registry

Primary practice location

1949 Sugarland Dr Ste 160
Sheridan, WY 82801-5764

Mailing address

PO Box 6468
Sheridan, WY 82801-1868
Phone (307) 752-5435

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 8, 2023.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1447424312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6468",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828011868",
            "telephone_number": "307-752-5435",
            "fax_number": "307-448-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 SUGARLAND DR STE 160",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828015764",
            "telephone_number": "307-752-5435",
            "fax_number": "307-448-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "DAVID",
        "middle_name": "ORRIN",
        "credential": "MA, LPC, LAT, CCHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-22",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WY",
            "license": "289",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WY",
            "license": "413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.