Jacqueline D Pearce, MSED., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

009513 Issued in NY

Practice address

168 Connecticut Ave
Freeport, NY 11520-1531

Phone

(516) 993-6815

NPI assigned

Dec 4, 2014

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pearce Mental Health Counseling Services PLLC

  dba Pearce Counseling Services

  • Mental Health Counselor
  • Freeport, NY
  • NPI 1417504531
  Medicare reassignment NPD Authorized official
• Queens/Long Island Counseling Services

  • Mental Health Counselor
  • Freeport, NY
  • NPI 1508242009
  NPD (past) Authorized official

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1699172759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 CONNECTICUT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201531",
            "telephone_number": "516-993-6815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 CONNECTICUT AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201531",
            "telephone_number": "516-993-6815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "JACQUELINE",
        "middle_name": "D",
        "credential": "MSED., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-04",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "009513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07659956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bria Patrick
• Prolay Kumer Paul, DDS
• Paula Hinton LCSW PC
• Maglie Sandy Paulissaint, RN
• Pearce Mental Health Counseling Services PLLC (Pearce Counseling Services)
• Pearsall Counseling Services LCSW
• Chloe Joy Pearson
• Michelle Pelaez, MEDICAL ASSISTANT
• Nancy Jean Pelfrey, NP
• Novelette Pennant, LPN

• Mental Health Counselor in Freeport, NY
• Providers in Freeport, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.