CORDELL PEARSON
NPI 1174102537
Counselor - Mental Health in Scottsdale, AZ

Q: What is Cordell Pearson's NPI number?

The NPI number for Cordell Pearson is 1174102537. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Cordell Pearson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Cordell Pearson enrolled in Medicare?

No. Cordell Pearson has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Cordell Pearson was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 05, 2021Opted out of Medicare · through Jan 15, 2028

10149 N 92ND ST STE 103, SCOTTSDALE, AZ 85258(480) 256-9799 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2021, May 7, 2021, Apr 5, 2021 (3 updates tracked since 2021).

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About Cordell Pearson NPPES

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

CORDELL PEARSON (NPI 1174102537) is an individual mental health provider in Scottsdale, Arizona, licensed in Arizona (LPC19817) and active in the NPI registry since April 2021. He has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1174102537

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameCORDELL PEARSON

Location Address10149 N 92ND ST STE 103Scottsdale, AZ 85258-4557

Mailing Address2574 W Bentrup StChandler, AZ 85224-1002 · (480) 256-9799

Phone(480) 256-9799

Sole ProprietorNo

Enumeration DateApril 5, 2021

Last NPPES UpdateJune 2, 20213 updates tracked since enumeration

NPPES CertifiedMay 11, 2021

✔ NPI 1174102537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in AZ · LPC19817✔ Licensed in AZ · LAC17606

10149 N 92ND ST STE 103, Scottsdale, AZ 85258

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Cordell Pearson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024

Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

KAITLYN KELLY MOYKA LMSW, MS

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