Cedric Jefferson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1819 S Dobson Rd Ste 203
Mesa, AZ 85202-5665

Phone

(310) 435-7622

NPI assigned

Dec 28, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1194438721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10606 HAAS AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474336",
            "telephone_number": "310-429-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S DOBSON RD STE 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025665",
            "telephone_number": "310-435-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "CEDRIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nirva M Jean-Baptiste, A.M.H.N.P
• Yva Jean-Marc, NP-C
• Adrian Jeanty, M.D.
• Ian Alexander Jeffer, ATC, LAT
• Christine H Jeffers
• Jeffrey C Wight DDS PLLC
• Jeffrey J.Eger,OD PC.
• Jeffrey R Banas
• Jason Jeffries, NCC
• Denise Jenderzak, DACM, L.AC.

• Mental Health Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.