Active NPI
Trisha Monique Pearson, LPC
- Professional Counselor
- Jenkintown, PA
National Provider Identifier
1588078349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007595
- Practice address
- 200 Jenkintown Commons
Jenkintown, PA 19046 - Phone
- (215) 885-3337
- Fax
- (215) 885-3090
- NPI assigned
- Jun 19, 2014
- Last updated
- Jun 19, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 173-025-9904 | PA | |
| Professional Counselor | 101YP2500X | PC007595 | PA | Primary |
Addresses
Primary practice location
200 Jenkintown Commons
Jenkintown, PA 19046
Mailing address
84 Concord Blvd
Sicklerville, NJ 08081-9642
Phone (215) 990-8117
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173-025-9904 | PA | MD | Mental Health Counselor |
| PC007595 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caring Counselors Inc | Mental Health | Current | Accepting new patients |
Locations
20000 Horizon Way
Ste 120
Mount Laurel, NJ 08054
Phone (856) 269-0019
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.
-
- Community/Behavioral Health Agency
- Mount Laurel, NJ
- NPI 1326173477
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403136000000",
"number": "1588078349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 CONCORD BLVD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080819642",
"telephone_number": "215-990-8117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 JENKINTOWN COMMONS",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "19046",
"telephone_number": "215-885-3337",
"fax_number": "215-885-3090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "TRISHA",
"middle_name": "MONIQUE",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-19",
"last_updated": "2014-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "173-025-9904",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jenkintown, PA
- Shradhdha Yatin Patel, CRNP
- Paul-Durocher Certified Registered Nurse Practitioner Consultants (Integrated Care)
- Katherine Lorraine Paz
- PCG Internal Medicine PC
- Pearle Vision Inc (Pearle Vision #C6439)
- Pediatric Care Group, P.C. (PCG Internal Medicine)
- Pediatric Care Group, P.C. (Pediatric Care Group)
- Peds 360 Plus Corp
- Kelly McGrath Pellathy, NP
- Penn Asian Serior Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.