Peartree Professional Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PEARTREE PROFESSIONAL COUNSELING, LLC

Practice address

1945 W Royale Dr
Muncie, IN 47304-2265

Phone

(765) 273-8569

NPI assigned

Aug 3, 2021

Organization subpart

No

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

Authorized official

Name

Jamie L Pereira, LMHCNPI 1366950891

Title

Provider

Phone

(765) 273-8569

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie L Pereira, LMHCA

  • Mental Health Counselor
  • Muncie, IN
  • NPI 1366950891
  NPD Authorized official

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1629742713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 W WOODS EDGE LN",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046082",
            "telephone_number": "765-716-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 W ROYALE DR",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473042265",
            "telephone_number": "765-273-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARTREE PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "765-273-8569",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300059100",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://jamie-pereira.clientsecure.me/",
            "affiliation": "N",
            "endpointDescription": "portal to business billing software",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1945 W Royale Dr",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473042265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Payne, RBT
• June Payne, PHD, HSPP
• Elizabeth Anne Peacock, M.D.
• Bonnie L Pearson, MSN, CNS
• Richard W Pearson, M.D.
• Sofia Pedersen Kertesz, RBT
• Brynn Peifer
• Gary Pelkey, PT
• Sarahanne Pelkey
• Kendra Penn

• Mental Health Counselor in Muncie, IN
• Providers in Muncie, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.