MR. KENNETH PEARSON LPA
NPI 1376521252
Psychologist in Jacksonville, NC

Active since January 03, 2006
1703 COUNTRY CLUB RD, SUITE 204, JACKSONVILLE, NC 28546(910) 347-3010(910) 347-3201 Get Directions Write a Review

NPPES record last updated: May 8, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kenneth Pearson Lpa NPPES

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

MR. KENNETH PEARSON LPA (NPI 1376521252) is an individual psychologist in Jacksonville, North Carolina, licensed in North Carolina (2269) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1376521252
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. KENNETH PEARSONCredential: LPA
Location Address1703 COUNTRY CLUB RD, SUITE 204Jacksonville, NC 28546
Mailing Address1703 Country Club Rd, Suite 204Jacksonville, NC 28546 · (910) 347-3010 · Fax (910) 347-3201
Fax(910) 347-3201
Sole ProprietorNo
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMay 8, 2008
NPI 1376521252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in NC · 2269
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

1703 COUNTRY CLUB RD, Jacksonville, NC 28546

Other Identifiers 2

Other141U1NC · Bc/bs
Medicaid6107133NC

Other Providers at the Same Location NPPES 18

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

Psychologist
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Social Worker
1703 COUNTRY CLUB RD, STE 204
JACKSONVILLE, NC 28546
Psychologist
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Psychologist
1703 COUNTRY CLUB RD, STE 204
JACKSONVILLE, NC 28546
Psychologist
1703 COUNTRY CLUB RD, STE 204 CAROLINA PSYCHOLOGICAL HEALTH SERVICES
JACKSONVILLE, NC 28546
Psychologist (Clinical)
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Psychologist
1703 COUNTRY CLUB RD, SUITE 204
JACKSONVILLE, NC 28546
Community/Behavioral Health
1703 COUNTRY CLUB RD, SUITE 305
JACKSONVILLE, NC 28546

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376521252, enumerated as an "individual" on January 03, 2006.

The provider is located at 1703 COUNTRY CLUB RD SUITE 204 JACKSONVILLE, NC 28546 and the phone number is (910) 347-3010.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.