Individual provider Active NPI

Jamie R Cerrato, LPC

  • Mental Health Counselor
  • Kennesaw, GA
National Provider Identifier
1275842643
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC5458 Issued in GA
Practice address
1442 Tee CT NW
Kennesaw, GA 30144-3080
Phone
(770) 966-9187
Fax
(678) 426-8415
NPI assigned
Oct 1, 2010
Last updated
Aug 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC5458 GA Primary

Addresses

Primary practice location

1442 Tee CT NW
Kennesaw, GA 30144-3080

Mailing address

1442 Tee CT NW
Kennesaw, GA 30144-3080
Phone (770) 966-9187

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

State licenses

LicenseStateTypeSpecialty
LPC5458GAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471824000000",
    "number": "1275842643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 TEE CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443080",
            "telephone_number": "770-966-9187",
            "fax_number": "678-426-8415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 TEE CT NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301443080",
            "telephone_number": "770-966-9187",
            "fax_number": "678-426-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRATO",
        "first_name": "JAMIE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2016-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC5458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.