Organization Active NPI

Anthony a.M. Pearson Ma Med LPC NCC

  • Professional Counselor
  • Canyon Lake, TX
National Provider Identifier
1831815646
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Anthony PearsonNPI 1295089308
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.