Jerri L Pedro, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0015180 Issued in CO

Practice address

135 W Main St Ste P
Aspen, CO 81611-1700

Phone

(817) 925-9462

NPI assigned

May 22, 2009

Last updated

Jan 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aspen Center4Counseling, LLC

  • Professional Counselor
  • Aspen, CO
  • NPI 1790243855
  NPD (past) Authorized official
• Oakmont Counseling Center

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1740412204
  Authorized official Same address or phone
• JDK Counseling Services LLC

  • Professional Counselor
  • Fort Worth, TX
  • NPI 1912250309
  NPD (past)
• Steven D Pedro MD PA

  • Procedural Dermatology Physician
  • Fort Worth, TX
  • NPI 1619455789
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579392000000",
    "number": "1134354996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7833 OAKMONT BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324231",
            "telephone_number": "817-665-0583",
            "fax_number": "817-370-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W MAIN ST STE P",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111700",
            "telephone_number": "817-925-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRO",
        "first_name": "JERRI",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2020-01-19",
        "certification_date": "2020-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "209525 CERTIFICATIO",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62483",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0015180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laureen Patricia Osier, RD,CDE
• Pathfinders
• Paula Kadison, MD PC (Kadison Medical Group)
• Schuller Pavek, PT
• Andrea Laura Pazdera, PHD, LMFT, CFLE
• Christopher M Peshek, PT
• Robin Severy Pfautz, D.P.T.
• Tiffany Michelle Poss, NP-C
• Lisa Pranno, PT, DPT, GCS
• Robert Price

• Mental Health Counselor in Aspen, CO
• Providers in Aspen, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.