Tony Levon Jerry, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14828 Issued in TX

Practice address

2368 Center Stone LN
Riviera Beach, FL 33404-1828

Phone

(713) 859-7814

NPI assigned

Aug 23, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• None None None Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1144004912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2368 CENTER STONE LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041828",
            "telephone_number": "713-859-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2368 CENTER STONE LN",
            "city": "RIVIERA BEACH",
            "state": "FL",
            "postal_code": "334041828",
            "telephone_number": "713-859-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERRY",
        "first_name": "TONY",
        "middle_name": "LEVON",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NONE",
            "last_name": "NONE",
            "middle_name": "NONE",
            "credential": "LCDC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Jena, DC
• Meghan Jennerjahn
• Christopher Jerez, LCSW
• Christopher Led'S Giscard Jerome, MD
• Martine Jerome
• Winston R. Jeshuran, M.D.
• Jessica Granata DNP Aprn Inc
• Michelle A JN-Baptiste, PA-C
• Cristy Johnson, LCSW
• Labohranique Johnson

• Addiction (Substance Use Disorder) Counselor in Riviera Beach, FL
• Providers in Riviera Beach, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.