Kira Pearson, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11104 Issued in NE

Practice address

700 R St # 321
Lincoln, NE 68501-0010

Phone

(308) 529-3770

NPI assigned

Jan 18, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

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

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pearson Counseling LLC

  • Community/Behavioral Health Agency
  • Lincoln, NE
  • NPI 1558045997
  Medicare reassignment NPD Authorized official
• Monarch Counseling, P.C.

  • Mental Health Counselor
  • Lincoln, NE
  • NPI 1043529555
  Medicare reassignment NPD

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1922544691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 W LUDWIG DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685282711",
            "telephone_number": "308-529-3770",
            "fax_number": "402-261-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 R ST # 321",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685010010",
            "telephone_number": "308-529-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KIRA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "11104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEATLH AND HUMAN SERVICES OF NEBRASKA",
            "identifier": "11104",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Shae Pearce
• Pearson Counseling LLC
• Ambera Dawn Pearson, PA-C
• Jennifer Pearson, DNP, APRN, FNP-BC
• Kelli Pearson, PHARMD
• Korey Pearson, DPT
• Lincoln Richard Pearson, DDS
• Shane Glyndon Pearson, CRNA
• Troy Lee Pearson Jr.
• Rosenda Pech

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.