Individual provider Active NPI

Lauren Pearson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1669510319
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP007402 Issued in PA
Practice address
100 S Juniper St FL 3
Philadelphia, PA 19107-1316
Phone
(267) 999-9534
Fax
(833) 613-2680
NPI assigned
Feb 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ00040000 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP007402 PA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.022121 OH

Addresses

Primary practice location

100 S Juniper St FL 3
Philadelphia, PA 19107-1316

Mailing address

228 Park Ave S
New York, NY 10003-1502
Phone (267) 999-9534

Other practice location 1

1 Gateway Ctr Ste 2600
Newark, NJ 07102-5323
Phone (267) 999-9534

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20080409000063 NJ Practitioner - Nurse Practitioner 8224115753 Reassigns benefits to 1 organization
I20230710000232 PA Practitioner - Nurse Practitioner 8224115753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quartet Medical GroupGroup PAC ID 5294274536, 13 clinicians

Practice addresses (Care Compare)

Cherry Hill, NJ 08002
Phone (833) 258-8498

Honesdale, PA 18431
Phone (833) 258-8498

1601 Market St
Suite 1500
Philadelphia, PA 19103-2352
Phone (833) 258-8498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00040000NJMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.022121OHMDPsychiatric/Mental Health Nurse Practitioner
SP007402PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quartet Medical Group Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Quartet Medical Group of New Jersey Professional Corporation Psychiatric/Mental Health CurrentSince Apr 1, 2024 Accepting new patients

Locations

1 Gateway Ctr
Ste 2600
Newark, NJ 07102
Phone (267) 999-9534

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

100 S Juniper St
Fl 3
Philadelphia, PA 19107
Phone (267) 999-9534

1601 Market St
Ste 1500
Philadelphia, PA 19103
Phone (267) 999-9534

Interoperability endpoints

  • Direct secure messaging: lauren.pearson.1@26068.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1669510319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 PARK AVE S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100031502",
            "telephone_number": "267-999-9534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S JUNIPER ST FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071316",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gateway Ctr Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071025323",
            "country_code": "US",
            "telephone_number": "267-999-9534",
            "fax_number": "833-613-2680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-02",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ00040000",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP007402",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.022121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.