Individual provider Active NPI

Lynda Pearman, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1881756583
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
104483 Issued in OK
Practice address
224 Breckenridge LN Ste a
Louisville, KY 40207-3878
Phone
(502) 551-5539
NPI assigned
Dec 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 104483 OK Primary

Addresses

Primary practice location

224 Breckenridge LN Ste a
Louisville, KY 40207-3878

Mailing address

224 Breckenridge LN Ste a
Louisville, KY 40207-3878
Phone (502) 551-5539

Other identifiers 2

IdentifierTypeStateIssuer
104483OtherKYLPCC
7100312160MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20240327000965 KY Practitioner - Mental Health Counselor 5294172128 Practice locations: Louisville, KY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 Breckenridge LN
Suite a
Louisville, KY 40207-3878
Phone (502) 551-5539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
104483OKMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pastoral Counseling & Consultation Center Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1881756583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BRECKENRIDGE LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073878",
            "telephone_number": "502-551-5539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 BRECKENRIDGE LN STE A",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073878",
            "telephone_number": "502-551-5539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARMAN",
        "first_name": "LYNDA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "104483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPCC",
            "identifier": "104483",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100312160",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.