Michael Cedell Pearson, LCSWA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PO15578 Issued in NC

Practice address

2806 Azalea Dr
Greensboro, NC 27407-4725

Phone

(336) 949-7685

NPI assigned

Jun 28, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Positively Psyched LLC

  • Community/Behavioral Health Agency
  • Mebane, NC
  • NPI 1922877679
  NPD
• Take My Hand Therapy, PLLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1306517982
  NPD

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1720428295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 AZALEA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074725",
            "telephone_number": "336-949-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 AZALEA DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074725",
            "telephone_number": "336-949-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MICHAEL",
        "middle_name": "CEDELL",
        "name_prefix": "Mr.",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P007860",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NC",
            "license": "P007860",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "PO15578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peaceful Pathways Therapeutic Services, PLLC
• Peachtree Learning Collaborative
• Stephanie Olga Peacock, MD
• Pear Manor
• Donna (Gail) Williams Pearson, CRNA
• Samara Pearson, CCC-SLP
• Terrance Allen Pearson, PHARMD
• Vallie Jane Pearson, PHARMD
• Marvin Peasah
• Paula Eem Pecen, MD

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.