Individual provider Active NPI

Brian Scott Pearson, PH.D.

  • Family Psychologist
  • Saline, MI
National Provider Identifier
1962559872
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
6301005944 Issued in MI
Practice address
198 S Industrial Dr BLDG D
Saline, MI 48176-9175
Phone
(734) 944-3446
Fax
(734) 316-2093
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Psychologist 103TF0000X 6301005944 MI Primary
Mental Health Counselor 101YM0800X 6401007956 MI

Addresses

Primary practice location

198 S Industrial Dr BLDG D
Saline, MI 48176-9175

Mailing address

624 Holmdale Way
Ann Arbor, MI 48108-2838
Phone (734) 945-1371

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.still-waters-counseling.com Direct Still Waters Counseling, LLC

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6401007956MIMDMental Health Counselor
6301005944MIMDFamily Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Counseling, LLC Mental Health Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stilwaterscounselingllc.brianpearson@128364.advancedmd-direct.com

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1962559872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 HOLMDALE WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481082838",
            "telephone_number": "734-945-1371",
            "fax_number": "734-316-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 S INDUSTRIAL DR BLDG D",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769175",
            "telephone_number": "734-944-3446",
            "fax_number": "734-316-2093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "BRIAN",
        "middle_name": "SCOTT",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "MI",
            "license": "6301005944",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401007956",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.still-waters-counseling.com",
            "affiliation": "Y",
            "endpointDescription": "Business website",
            "affiliationName": "Still Waters Counseling, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "198 S Industrial Dr Bldg D",
            "city": "Saline",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481769175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.