MEDICARE: AMBER W. PEARSON MA, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC-6479	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992056246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER W. PEARSON MA, LPC

Provider Business Mailing Address
First Line	:	PO BOX 155
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80038-0155
Country	:	US
Telephone Number	:	720-644-6378
Fax Number	:

Provider Business Practice Location Address
First Line	:	11001 W 120TH AVE STE 400
Second Line	:
City	:	BROOMFIELD
State	:	CO
Zip	:	80021-3493
Country	:	US
Telephone Number	:	720-644-6378
Fax Number	:	720-446-3520

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2012
Last Update Date	:	07/21/2022

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