Active NPI
Anna Pearl Eaton, MED, NCC, LCMHCA
- Mental Health Counselor
- Gastonia, NC
National Provider Identifier
1619652302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A17391
- Practice address
- 1558 Union Rd Ste G
Gastonia, NC 28054-2215 - Phone
- (980) 251-6054
- NPI assigned
- Jun 20, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A17391 | NC | Primary |
Addresses
Primary practice location
1558 Union Rd Ste G
Gastonia, NC 28054-2215
Mailing address
300 S Firestone St
Apt 339
Gastonia, NC 28052
Phone (980) 251-6054
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A17391 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1619652302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 S FIRESTONE ST",
"address_2": "APT 339",
"city": "GASTONIA",
"state": "NC",
"postal_code": "28052",
"telephone_number": "980-251-6054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1558 UNION RD STE G",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280542215",
"telephone_number": "980-251-6054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "ANNA",
"middle_name": "PEARL",
"credential": "MED, NCC, LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-20",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A17391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.