Jasmine Pearson, MA.,LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

86817 Issued in TX

Practice address

1110 Kingwood Dr Ste 120
Kingwood, TX 77339-2994

Phone

(346) 449-1286

Fax

(832) 565-1010

NPI assigned

Apr 9, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capstone Connect, PLLCGroup PAC ID 2567746837, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Capstone Connect, PLLC

  • Clinical Social Worker
  • Kingwood, TX
  • NPI 1104247261
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1851971295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR STE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392994",
            "telephone_number": "346-449-1286",
            "fax_number": "832-565-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR STE 120",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392994",
            "telephone_number": "346-449-1286",
            "fax_number": "832-565-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "JASMINE",
        "credential": "MA.,LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-09",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15425",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Robert Patrick, D.D.S., M.S
• Allison Paul
• Kathleen Lynn Paul, LPC
• Meghan Payne, SLP
• Pearl Cosmetic Dentistry, PLLC
• Idelette Blanche Peery, R.N.
• Hyman Penn, M.D.
• Alexandra Penzell
• Eryn Alexandra Percenti, MD
• Anica A Perez

• Professional Counselor in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.