Pearson Afc- Munson House

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

AM280258648 Issued in MI

Legal business name

PEARSON AFC- MUNSON HOUSE

Practice address

802 Munson Ave
Traverse City, MI 49686-3602

Phone

(231) 946-8897

Fax

(231) 946-8897

NPI assigned

Nov 22, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Kelly Ann Pearson

Title

Administrator

Phone

(231) 946-8897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1679875843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863602",
            "telephone_number": "231-946-8897",
            "fax_number": "231-946-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MUNSON AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496863602",
            "telephone_number": "231-946-8897",
            "fax_number": "231-946-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARSON AFC- MUNSON HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "231-946-8897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "MI",
            "license": "AM280258648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful Mind Counseling
• Alexandria Peacock, PTA
• Lisa Marie Peacock, R.N.C., W.H.N.P.
• Marianne Peacock, NP
• Justine Pearl, M.D.
• Chrystie Pearson, DPT
• Abigail A Peck, LMSW-C
• Greta Peck, PA-C
• Lisa Peck, CPRM
• Taylor Peck, RBT

• Foster Care Agency in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Foster Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.