Misty Brown Pearson, M.ED, LCMHC
Individual provider Active NPI Mental Health Counselor · Charlotte, NC
NPI 1649536152 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1649536152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 8236 (NC)
- Practice address
- 10620 Park Rd Ste 208
Charlotte, NC 28210-0106 - Phone
- (704) 360-3637
- NPI assigned
- Apr 9, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250502003039 | NC | Practitioner - Mental Health Counselor | 2365969391 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8236 | NC | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Wellness Solutions, PLLC | Mental Health | Current |
Accepting new patients |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Bridgebuilders Family & Youth Services Inc. | Mental Health | Past | Accepting new patients |
| Carolina Therapeutic Services, Inc | Mental Health | Past | Accepting new patients |
Locations
10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930
10620 Park Rd
Ste 208
Charlotte, NC 28210
Phone (980) 442-0140
3625 N Elm St
Ste 130
Greensboro, NC 27455
122 Gateway Blvd
Ste C
Mooresville, NC 28117
Phone (980) 766-1030
Interoperability endpoints
- mistybrownpearson@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8236 | NC | |
| Mental Health Counselor | 101YM0800X | 8236 | NC | Yes |
Addresses
Primary practice location
10620 Park Rd Ste 208
Charlotte, NC 28210-0106
Mailing address
10620 Park Rd Ste 208
Charlotte, NC 28210-0106
Phone (704) 360-3637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PC5788 | Medicaid | SC |
Other providers in Charlotte, NC
- Dwayne Allen Brouse
- Michael Broussard
- Aaron Jeffrey Daniel Brower
- Taylor Renee Brower
- Brown Clinical Services
- Brown Residential Support Services Inc
- Brown Residential Support Services, Inc.
- Miranda Denise Brown-Meaders
- Jennifer Paige Brown-Schreiber
- Alex Brown
All providers in Charlotte, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.