Active NPI
Anthony a.M. Pearson Ma Med LPC NCC
- Professional Counselor
- Canyon Lake, TX
National Provider Identifier
1831815646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ANTHONY A.M. PEARSON MA MED LPC NCC
- Practice address
- 1768 FM 2673 Ste 2
Canyon Lake, TX 78133-4768 - Phone
- (210) 632-0358
- NPI assigned
- Oct 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Anthony Pearson
- Title
- Owner
- Phone
- (210) 632-0358
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1768 FM 2673 Ste 2
Canyon Lake, TX 78133-4768
Mailing address
1768 FM 2673 Ste 2
Canyon Lake, TX 78133-4768
Phone (210) 632-0358
National Provider Directory
National Provider DirectoryLocations
1768 FM 2673
Ste 2
Canyon Lake, TX 78133
Phone (210) 632-0358
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Canyon Lake, TX
- NPI 1295089308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665619200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1831815646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 FM 2673 STE 2",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781334768",
"telephone_number": "210-632-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1768 FM 2673 STE 2",
"city": "CANYON LAKE",
"state": "TX",
"postal_code": "781334768",
"telephone_number": "210-632-0358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY A.M. PEARSON MA MED LPC NCC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-13",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "210-632-0358"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canyon Lake, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.