DR. RODNEY PEARSON BS MSPC LPC D.MIN NPI 1467962811

NPI Information

NPI: 1467962811
Provider Name: DR. RODNEY PEARSON, BS, MSPC, LPC, D.MIN
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
14324 W DESERT FLOWER DR
GOODYEAR, AZ
ZIP 85395
Phone: (602) 690-1643
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DR. Rodney Pearson, BS, MSPC, LPC, D.MIN is a professional counselor in Goodyear, AZ. DR. Rodney Pearson, BS, MSPC, LPC, D.MIN NPI is 1467962811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14324 W DESERT FLOWER DR
GOODYEAR, AZ
ZIP 85395-518
Phone: (602) 690-1643

The enumeration date for this NPI number is 10/11/2017 and was last updated on 3/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LAC5883T	ARIZONA	No
2	101YP2500X	Counselor	Professional	LPC21139	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	21213	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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