Dennis Pearson, LPC, CADC
Individual provider Active NPI Mental Health Counselor · Charleston, IL
NPI 1891280970 · NPPES record last updated Jun 29, 2018
Key facts
- NPI
- 1891280970
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 178.009166 (IL)
- Practice address
- 1836 Victoria LN
Charleston, IL 61920-2964 - Phone
- (217) 508-7953
- NPI assigned
- Jun 29, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178.009166 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neuro Harmony PLLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.009166 | IL | Yes |
Addresses
Primary practice location
1836 Victoria LN
Charleston, IL 61920-2964
Mailing address
1836 Victoria LN
Charleston, IL 61920-2964
Phone (217) 508-7953
Other providers in Charleston, IL
- New Leaf Professional Counseling
- Cory Niemerg
- Nichole C Ogilvie
- Becky K Ogle
- Amy Overmyer
- Jacob Tage Pearson
- Brett Penning
- Erica Davis Perrino
- Petersen Companies, LLC
- Jayme Petty
All providers in Charleston, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.