Active NPI
Amber W. Pearson, MA, LPC
- Professional Counselor
- Broomfield, CO
National Provider Identifier
1992056246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-6479
- Practice address
- 11001 W 120TH Ave Ste 400
Broomfield, CO 80021-3493 - Phone
- (720) 644-6378
- Fax
- (720) 446-3520
- NPI assigned
- Sep 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-6479 | CO | Primary |
Addresses
Primary practice location
11001 W 120TH Ave Ste 400
Broomfield, CO 80021-3493
Mailing address
PO Box 155
Broomfield, CO 80038-0155
Phone (720) 644-6378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40876870 | Medicaid | CO |
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-6479 | CO | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wellness and Strategies, LLC | Professional | 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.
-
- Professional Counselor
- Broomfield, CO
- NPI 1518326305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992056246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 155",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800380155",
"telephone_number": "720-644-6378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 W 120TH AVE STE 400",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800213493",
"telephone_number": "720-644-6378",
"fax_number": "720-446-3520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARSON",
"first_name": "AMBER",
"middle_name": "W.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC-6479",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40876870",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.