Individual provider Active NPI

D. Sue Pearson, LPC

  • Professional Counselor
  • Hoover, AL
National Provider Identifier
1689790370
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1684 Issued in AL
Practice address
2 Riverchase Office PLZ
Suite 122
Hoover, AL 35244-2890
Phone
(205) 682-9919
Fax
(205) 682-9921
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1684 AL
Professional Counselor 101YP2500X 1684 AL Primary

Addresses

Primary practice location

2 Riverchase Office PLZ
Suite 122
Hoover, AL 35244-2890

Mailing address

617 Valley St
Birmingham, AL 35226-1232
Phone (205) 567-9873

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409000307 AL Practitioner - Mental Health Counselor 7719325836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Counseling and Consulting LLCGroup PAC ID 2769789551, 17 clinicians

Practice addresses (Care Compare)

251 Johnston St SE
Suite 100
Decatur, AL 35601-2515
Phone (256) 822-2375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1684ALMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Counseling & Consulting LLC Professional CurrentSince Jan 23, 2024 Accepting new patients

Locations

14790 Brownsferry Rd
Athens, AL 35611
Phone (256) 822-2375

251 Johnston St SE
Ste 100
Decatur, AL 35601
Phone (256) 822-2375

1634 Slaughter Rd
Ste C
Madison, AL 35758
Phone (256) 822-2375

Organizations & group practices 1

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1689790370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 VALLEY ST",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352261232",
            "telephone_number": "205-567-9873",
            "fax_number": "205-682-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 RIVERCHASE OFFICE PLZ",
            "address_2": "SUITE 122",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442890",
            "telephone_number": "205-682-9919",
            "fax_number": "205-682-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "D.",
        "middle_name": "SUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "1684",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "1684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

Verify at the official NPI Registry.