Active NPI
Isobella Persephone Cerceo
- Mental Health Counselor
- Macungie, PA
National Provider Identifier
1134878911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 6690 Hauser Rd Apt E206
Macungie, PA 18062-8110 - Phone
- (727) 477-2790
- NPI assigned
- Mar 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
6690 Hauser Rd Apt E206
Macungie, PA 18062-8110
Mailing address
3440 Lehigh St
Allentown, PA 18103-7001
Phone (727) 477-2790
Other practice location 1
11 Penn Ave
Collingswood, NJ 08108-2032
Phone (856) 295-3459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starlight Counseling & Consulting, LLC | Mental Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Macungie, PA
- NPI 1710741384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1134878911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 LEHIGH ST",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181037001",
"telephone_number": "727-477-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6690 HAUSER RD APT E206",
"city": "MACUNGIE",
"state": "PA",
"postal_code": "180628110",
"telephone_number": "727-477-2790"
}
],
"practiceLocations": [
{
"address_1": "11 Penn Ave",
"address_purpose": "LOCATION",
"city": "Collingswood",
"state": "NJ",
"postal_code": "081082032",
"country_code": "US",
"telephone_number": "856-295-3459",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CERCEO",
"first_name": "ISOBELLA",
"middle_name": "PERSEPHONE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-21",
"last_updated": "2022-09-22",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macungie, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.