NICHOLAS TRAVIS PEARSON (NPI# 1306924717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306924717 |
| Entity Type | Individual |
| Full Name | NICHOLAS TRAVIS PEARSON |
| Practice Address |
2336 Goddard Parkway Salisbury MD 21801 |
| Practice Telephone | 4103346961 |
| Practice Fax Number | 4103346960 |
| Mailing Telephone | 4103346961 |
| Mailing Fax Number | 4103346960 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC MAMSI GROUP # | 517251 | 01 | |
| MD | CAREFIRST BCBS GROUP | LM49EA | 01 |
| DC | CAREFIRST FEDERAL GROUP | R968 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558885236 | Nicholas Lee Pearson | Specialist/Technologist | 319 W 3rd St, Jamestown, NY 14701-4933 | 2017-08-03 |
| 1205121357 | Nicholas Bradley Pearson | Orthopaedic Surgery | 1 Genesys Pkwy, Grand Blanc, MI 48439-8065 | 2011-06-16 |
| Street Address |
2336 GODDARD PARKWAY |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730276429 | Patricia Annette Brown | Social Worker | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-10-06 |
| 1871898270 | Lenora A Smooth | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801-1126 | 2011-01-14 |
| 1346309390 | Evelyne Kunkumah | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-12-06 |
| 1124197405 | Heather Lynne Kellam | Social Worker | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-08 |
| 1841378254 | Latoya Donyell Gattis | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1417035825 | Darrell M Jackson | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1952489361 | Jamie Lynn Schaffener | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1497833800 | Brittany Joy Elbourn | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1023196433 | Nina Mary Thompson | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| 1932287349 | Angel Evette Hutley | Counselor | 2336 Goddard Parkway, Salisbury, MD 21801 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033682737 | Barbara Joyce Ruark | Counselor | 1113 Healthway Dr Apt 1c, Salisbury, MD 21804-4470 | 2019-01-04 |
| 1104207828 | Melissa Ledbetter | Counselor | 1701 Walker St, Salisbury, NC 28144-2548 | 2015-06-18 |
| 1851790505 | Donna Leffew | Counselor | 6322 Ayrshire Dr, Salisbury, MD 21801-2263 | 2014-08-19 |
| 1437561297 | Akeeyia Jefferson | Counselor | 1016 Cedar Village Trl, Salisbury, NC 28147-7294 | 2014-05-28 |
| 1083843908 | Angela Alford | Counselor | 1404 E Council St, Salisbury, NC 28146-4706 | 2009-07-13 |
| 1184822017 | Bethany Leah James | Counselor | 107 W. Cemetery St, Salisbury, NC 28144 | 2007-07-03 |
| 1215134861 | Leanna Thomson | Counselor | 704 W Highway 24, Salisbury, MO 65281-1621 | 2007-06-28 |
| 1922196567 | Megan Ruth Orr | Counselor | 1720 Hampshire Dr, Salisbury, NC 28146-7211 | 2006-10-10 |
| 1700823432 | Debra Suzanne Hullender | Counselor | 609 S Broadway, Salisbury, MO 65281 | 2006-06-01 |
| 1174120760 | Alexis Mcbean | Counselor | 1113 Healthway Dr, Salisbury, MD 21804-4470 | 2020-10-06 |
| Find all providers in SALISBURY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.