Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shereese Nicole Pearsall

Individual provider Professional Counselor · NPI 1528307394

Shereese Nicole Pearsall is a Mental Health Counselor in Fayetteville, Georgia. Qualified in 2010, 16 years ago. Practices as a sole proprietor. Licensed in California and Georgia.

Years since qualifying
16
Licensed in
CA, GA
In the registry since
2013
Specialties on file
2

Practice location Address checks out

170 Bastille Way
Fayetteville, GA 30214-7652
Phone: (770) 255-9941
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence APC002994 (GA)
Counselor Taxonomy 101Y00000X · Licence LPCC15234 (CA)

Record details

NPI number1528307394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2013
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Not indicated

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