BRIAN THOMAS PEARSON (NPI# 1144732454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144732454 |
| Entity Type | Individual |
| Full Name | BRIAN THOMAS PEARSON |
| Practice Address |
6302 13th Ave Lucerne CA 95458 |
| Mailing Address |
Po Box 1024 Lucerne CA 95458-1024 |
| Practice Telephone | 7072741901 |
| Mailing Telephone | 7072741901 |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2017-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 946000825 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962638932 | Brian Keith Pearson | Student in an Organized Health Care Education/Training Program | 2827 Highway 45 Byp, Jackson, TN 38305-3606 | 2009-06-04 |
| 1962559872 | Brian Scott Pearson | Counselor | 198 S Industrial Dr Bldg D, Saline, MI 48176-9175 | 2007-01-04 |
| Street Address |
6302 13TH AVE |
| City | LUCERNE |
| State | CA |
| Zip Code | 95458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053618652 | Chris Partida | Counselor | 6302 13th Ave, Lucerne, CA 95458 | 2011-02-16 |
| 1710475116 | Teresa Eileen Newton | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-05-01 |
| 1518454206 | Anthony Michael Sage | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-04-18 |
| 1922504950 | Donald Patrick Laub | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-03-30 |
| 1386147445 | Asia Monique Smith | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-03-15 |
| 1184969800 | Annie P Barnes | Marriage & Family Therapist | 6302 13th Ave, Lucerne, CA 95458-6302 | 2012-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527512 | Shawna Dee Theodorou | Case Manager/Care Coordinator | 6302 Thirteeth Ave, Lucerne, CA 95458 | 2019-09-13 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1750848396 | Catherine Denise Miller | Case Manager/Care Coordinator | 6302 13 Th Ave, Lucerne, CA 95458 | 2019-03-01 |
| 1043774193 | Priest Martinez | Counselor | 6300 E Hwy 20 Unit B, Lucerne, CA 95458 | 2019-01-23 |
| 1700308962 | Joao Adeles Barta | Case Manager/Care Coordinator | 6302 Thirteenth Av., Lucerne, CA 95458 | 2017-07-10 |
| 1154872737 | Deborah Annette Schmidt | Licensed Vocational Nurse | 6302 13th Ave., Lucerne, CA 95458 | 2016-10-19 |
| 1922496199 | Pearlina Drummond | Counselor | 3937 Foothill Drive, Lucerne, CA 95458 | 2014-12-22 |
| 1467881672 | Lucerne Elementary | Local Education Agency (LEA) | 3351 Country Club Drive, Lucerne, CA 95458 | 2013-11-07 |
| 1003245960 | Hilltop Recovery Services | Substance Abuse Rehabilitation Facility | 3937 Foothill Dr, Lucerne, CA 95458 | 2013-11-01 |
| 1265747984 | Jamilyn D Trillo | Counselor | 6302 Thirteenth Ave., Lucerne, CA 95458 | 2010-08-18 |
| Find all providers in zip 95458 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619527512 | Shawna Dee Theodorou | Case Manager/Care Coordinator | 6302 Thirteeth Ave, Lucerne, CA 95458 | 2019-09-13 |
| 1750848396 | Catherine Denise Miller | Case Manager/Care Coordinator | 6302 13 Th Ave, Lucerne, CA 95458 | 2019-03-01 |
| 1700308962 | Joao Adeles Barta | Case Manager/Care Coordinator | 6302 Thirteenth Av., Lucerne, CA 95458 | 2017-07-10 |
| 1710475116 | Teresa Eileen Newton | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-05-01 |
| 1518454206 | Anthony Michael Sage | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-04-18 |
| 1922504950 | Donald Patrick Laub | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-03-30 |
| 1386147445 | Asia Monique Smith | Case Manager/Care Coordinator | 6302 13th Ave, Lucerne, CA 95458 | 2018-03-15 |
| 1457863821 | Karen Macall | Case Manager/Care Coordinator | 6302 Thirteenth Ave, Lucerne, CA 95458 | 2017-10-25 |
| 1861798225 | Melissa May Hendrick | Case Manager/Care Coordinator | 6302 13th Avenue, Lucerne, CA 95458-0000 | 2011-02-02 |
| 1326228297 | Diana L Arthur-roe | Case Manager/Care Coordinator | 6302 13th Avenue, Lucerne, CA 95458 | 2007-11-08 |
| Find all providers in LUCERNE | ||||
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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.