Lynne Pearl, CAP, ICADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23385 Issued in FL

Practice address

1705 19TH PL
Ste. E-2
Vero Beach, FL 32960-0686

Phone

(772) 257-5995

Fax

(772) 257-5962

NPI assigned

Nov 29, 2013

Last updated

Apr 30, 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1385683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1730510843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 19TH PL",
            "address_2": "STE. E-2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600686",
            "telephone_number": "772-257-5995",
            "fax_number": "772-257-5962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 19TH PL",
            "address_2": "STE. E-2",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329600686",
            "telephone_number": "772-257-5995",
            "fax_number": "772-257-5962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARL",
        "first_name": "LYNNE",
        "credential": "CAP, ICADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-29",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "101YA0400X",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAP",
            "identifier": "ADC-003784-2014",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon S Paxton, LCSW
• Justine Marie Payne
• Victoria Payton, MS, RD, LD
• PBPM Inc (Physician Billing and Practice Management)
• PD Gordon Inc
• Mariya Pecheny, DMD
• Richard A Pechter
• John Patrick Peden Jr., MD
• Pediatrix Medical Group of Florida Inc
• Peds & Carrots Therapy Services, Inc.

• Mental Health Counselor in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.