Rodney Pearson, BS, MSPC, LPC, D.MIN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC21139 Issued in AZ

Practice address

14324 W Desert Flower Dr
Goodyear, AZ 85395-7518

Phone

(602) 690-1643

NPI assigned

Oct 11, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Rodtree Behavioral Health LLC

  • Mental Health Counselor
  • Buckeye, AZ
  • NPI 1063110732

  Professional

  Medicare reassignment NPD Authorized official
• Brothers United Against Domestic Violence

  • Professional Counselor
  • Buckeye, AZ
  • NPI 1205525979
  NPD Authorized official
• Rodtree West

  • Speech-Language Pathologist
  • Avondale, AZ
  • NPI 1013213149
  NPD Authorized official
• Rodtree West

  • In Home Supportive Care Agency
  • Avondale, AZ
  • NPI 1134457336
  NPD Authorized official
• Sacred Circles of Healing and Wellness LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Tuba City, AZ
  • NPI 1942047253
  Medicare reassignment
• Atr Integrated LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
  • NPI 1952002214
  NPD (past)
• Better Homes Behavioral Health Services

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Phoenix, AZ
  • NPI 1851801294
  NPD (past)
• Dbotc LLC

  • Adult Mental Health Clinic/Center
  • Mesa, AZ
  • NPI 1912508342
  NPD (past)

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1467962811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14324 W DESERT FLOWER DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957518",
            "telephone_number": "602-690-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14324 W DESERT FLOWER DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853957518",
            "telephone_number": "602-690-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "RODNEY",
        "name_prefix": "Dr.",
        "credential": "BS, MSPC, LPC, D.MIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-11",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LAC5883T",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC21139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21213",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Pavese, M.D.
• Jennifer Kaye Paweleck-Bellingrodt, PSY.D.
• Linda Gail Paxton
• Danielle Nicole Payne, CF-SLP
• Hiroko Pearce
• Pebble Creek Medical Group PLLC
• Hailee Pedersen, OTR/L
• Daisy Pedrosa, MSN, APRN-RNP, PMHNP
• Jamie Pemberton
• Blanca Olivia Pena, PA-C

• Professional Counselor in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.