Active NPI
David Orrin Pearson, MA, LPC, LAT, CCHT
- Professional Counselor
- Sheridan, WY
National Provider Identifier
1447424312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 413
- Practice address
- 1949 Sugarland Dr Ste 160
Sheridan, WY 82801-5764 - Phone
- (307) 752-5435
- Fax
- (307) 448-4800
- NPI assigned
- Apr 22, 2008
- Last updated
- Dec 8, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 289 | WY | |
| Professional Counselor | 101YP2500X | 413 | WY | Primary |
Addresses
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
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
Enrollment records 1
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289 | WY | MD | Addiction (Substance Use Disorder) Counselor |
| 413 | WY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Griz-MTN Enterprises LLC | Professional | Current | Accepting new patients |
Locations
1949 Sugarland Dr
Ste 160
Sheridan, WY 82801
Phone (307) 752-5435
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.