Individual provider Active NPI

Anita Marie Rachal-Pearson, C.C.D.C.

  • Addiction (Substance Use Disorder) Counselor
  • Long Beach, CA
National Provider Identifier
1932220571
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
190498AN Issued in CA
Practice address
4801 E Anaheim St
Long Beach, CA 90804-3210
Phone
(562) 597-5300
Fax
(562) 597-5330
NPI assigned
Apr 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 190498AN CA Primary

Addresses

Primary practice location

4801 E Anaheim St
Long Beach, CA 90804-3210

Mailing address

15903 Lakewood Blvd
Unit# 245
Bellflower, CA 90706-4300
Phone (562) 895-8364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
190498ANCAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Our Homes by Anita Inc Addiction (Substance Use Disorder) 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": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1932220571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15903 LAKEWOOD BLVD",
            "address_2": "UNIT# 245",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064300",
            "telephone_number": "562-895-8364",
            "fax_number": "562-498-1713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 E ANAHEIM ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908043210",
            "telephone_number": "562-597-5300",
            "fax_number": "562-597-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAL-PEARSON",
        "first_name": "ANITA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "C.C.D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "190498AN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.