Mary Rachel Pearson, LCMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

754 Issued in KS

Practice address

9333 E 21St St N
Wichita, KS 67206-2927

Phone

(316) 634-4700

Fax

(316) 634-4770

NPI assigned

Nov 25, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 10, 2024 through Jun 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ict Therapy Works, LLC

  • Marriage & Family Therapist
  • Wichita, KS
  • NPI 1396102315
  NPD (past) Authorized official
• Prairie View, Inc.

  • Psychiatry Physician
  • Newton, KS
  • NPI 1558426486
  NPD (past)
• Prairie View, Inc.

  • Psychiatric Hospital
  • Wichita, KS
  • NPI 1902251655
  NPD (past)

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1881849396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9333 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9333 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672062927",
            "telephone_number": "316-634-4700",
            "fax_number": "316-634-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "MARY",
        "middle_name": "RACHEL",
        "credential": "LCMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clara Pearson
• Faith Deonne Pearson, LMSW
• Jeanne Lynn Pearson, APRN
• Jesse Pearson, CNMT
• Joshua Pearson
• Sidney Pearson
• Kara L Peavey- McDonough, MA, CCC-SLP
• Viviana Pechin, PTA
• Tina Peck, APRN
• Madison Peckham, CRNA

• Marriage & Family Therapist in Wichita, KS
• Providers in Wichita, KS by specialty
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.