JEREMY PEARSON LAC
NPI 1104670827
Counselor - Addiction (Substance Use Disorder) in Denver, CO

Active since April 17, 2024PECOS Enrolled
4242 DELAWARE ST, DENVER, CO 80216(303) 825-8113 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeremy Pearson Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY PEARSON LAC (NPI 1104670827) is an individual addiction (substance use disorder) provider in Denver, Colorado, licensed in Colorado (ACD0002466) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104670827
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY PEARSONCredential: LAC
Location Address4242 DELAWARE STDenver, CO 80216-2618
Mailing Address4242 Delaware StDenver, CO 80216-2618 · (303) 825-8113
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1104670827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CO · ACD0002466
4242 DELAWARE ST, Denver, CO 80216

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeremy Pearson Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648761783
PECOS Enrollment IDI20260303004115
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4242 DELAWARE ST
DENVER, CO 80216
Social Worker (Clinical)
4242 DELAWARE ST
DENVER, CO 80216
Social Worker
4242 DELAWARE ST
DENVER, CO 80216
Social Worker (Clinical)
4242 DELAWARE ST
DENVER, CO 80216
Counselor
4242 DELAWARE ST
DENVER, CO 80216
Counselor (Mental Health)
4242 DELAWARE ST
DENVER, CO 80216
Social Worker (Clinical)
4242 DELAWARE ST
DENVER, CO 80216
Counselor (Addiction (Substance Use Disorder))
4242 DELAWARE ST
DENVER, CO 80216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Pearson's NPI number?

The NPI number for Jeremy Pearson is 1104670827. It was assigned to this individual provider in the NPPES registry on April 17, 2024.

Where is Jeremy Pearson located?

Jeremy Pearson practices at 4242 Delaware St, Denver, CO 80216. The listed phone number is (303) 825-8113.

What is Jeremy Pearson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jeremy Pearson enrolled in Medicare?

Yes. Jeremy Pearson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeremy Pearson was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.