Active NPI
Wanda Pearman
- Mental Health Counselor
- Winston Salem, NC
National Provider Identifier
1467671321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3045
- Practice address
- 4035 University Pkwy
Winston Salem, NC 27106-3276 - Phone
- (336) 397-1560
- NPI assigned
- Apr 25, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 3045 | NC | Primary |
Addresses
Primary practice location
4035 University Pkwy
Winston Salem, NC 27106-3276
Mailing address
4035 University Pkwy
Winston Salem, NC 27106-3276
Phone (336) 397-1560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6102198 | Medicaid | NC |
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 |
|---|---|---|---|
| 3045 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1467671321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4035 UNIVERSITY PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063276",
"telephone_number": "336-397-1560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4035 UNIVERSITY PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271063276",
"telephone_number": "336-397-1560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARMAN",
"first_name": "WANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "3045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102198",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.