Pearl Meadows, BA MHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

101 Oliver St
Vienna, IL 62995-1660

Phone

(618) 658-2611

Fax

(618) 658-2501

NPI assigned

Oct 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pearl Lance Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

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 and National Provider Directory roles.

• Arrowleaf

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Golconda, IL
  • NPI 1538114608
  NPD
• Arrowleaf

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Vienna, IL
  • NPI 1598912263

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1821630484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 OLIVER ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951660",
            "telephone_number": "618-658-2611",
            "fax_number": "618-658-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OLIVER ST",
            "city": "VIENNA",
            "state": "IL",
            "postal_code": "629951660",
            "telephone_number": "618-658-2611",
            "fax_number": "618-658-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "PEARL",
        "credential": "BA MHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PEARL",
            "last_name": "LANCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Martin, BA MHP
• Sherry Ann Maynor
• Karen M McBride, BA, MHP
• Jessica Renee McCowan, PT, DPT
• Brandy Meadows, RN QMHP
• Raelyn Melton, LCSW
• Tiffany Meyers, BSW, MHP
• Emily Middleton, LCWS, MSW, QMHP
• Elizabeth Miller, RN, QMHP
• Kacey Minton, R.PH.

• All providers in Vienna, IL
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.