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MS. RUTH KATHRYN PEARSON MA, LCPC, CSAT, CMAT
NPI 1215013313
Counselor - Professional in Springfield, IL

Active since October 31, 2006Opted out of Medicare · through Jan 1, 2028
3021 MONTVALE DR, SUITE D, SPRINGFIELD, IL 62704(217) 787-8780(217) 726-8220 Get Directions Write a Review

NPPES record last updated: June 15, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ruth Kathryn Pearson Ma, Lcpc, Csat, Cmat NPPES

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

MS. RUTH KATHRYN PEARSON MA, LCPC, CSAT, CMAT (NPI 1215013313) is an individual professional provider in Springfield, Illinois, licensed in Illinois (180-002016) and active in the NPI registry since October 2006. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1215013313
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. RUTH KATHRYN PEARSONCredential: MA, LCPC, CSAT, CMAT
Location Address3021 MONTVALE DR, SUITE DSpringfield, IL 62704-5389
Mailing Address5116 Eagle RdgSpringfield, IL 62711-7811 · (217) 787-8360
Phone(217) 787-8780
Fax(217) 726-8220
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateJune 15, 2011
✔ NPI 1215013313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180-002016
3021 MONTVALE DR, Springfield, IL 62704
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Other Names 1

Professional Name (2)Ms. R. Kathryn Pearson Ma, Lcpc, Csat, Cmat

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ms. Ruth Kathryn Pearson Ma, Lcpc, Csat, Cmat 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Ruth Pearson's NPI number?

The NPI number for Ruth Pearson is 1215013313. It was assigned to this individual provider in the NPPES registry on October 31, 2006. The provider is also known as Ms. R. Kathryn Pearson Ma, Lcpc, Csat, Cmat.

Where is Ruth Pearson located?

Ruth Pearson practices at 3021 Montvale Dr Suite D, Springfield, IL 62704. The listed phone number is (217) 787-8780.

What is Ruth Pearson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ruth Pearson enrolled in Medicare?

No. Ruth Pearson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Ruth Pearson was last updated on June 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.