Connie J Pearson, MA MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC19077 Issued in CA

Practice address

1131 Luchessi Dr
Suite 4
San Jose, CA 95118-3770

Phone

(408) 268-2128

Fax

(408) 268-2128

NPI assigned

Jul 11, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821023631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 PUERTO VALLARTA DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204856",
            "telephone_number": "408-268-2128",
            "fax_number": "408-268-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 LUCHESSI DR",
            "address_2": "SUITE 4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951183770",
            "telephone_number": "408-268-2128",
            "fax_number": "408-268-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "CONNIE",
        "middle_name": "J",
        "credential": "MA MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC19077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Pearce, MD
• Mitchell Jameson Pearce, D.C., M.S., L.AC.
• Pearl Child and Family Therapy Inc.
• Kristina Pearl
• Pearle Visioncare, Inc
• Darion Michelle Pearson, M.D.
• Melissa Pearson, M.S.
• Scot Michael Pearson, A043331216
• Vandana Peddu, MD
• Dan Miller Pedersen

• Marriage & Family Therapist in San Jose, CA
• Providers in San Jose, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.