Jorge De Cecco, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC35662 Issued in CA

Practice address

169 Mason St Ste 300
Ukiah, CA 95482-4483

Phone

(707) 463-3300

Fax

(707) 463-4043

NPI assigned

Apr 18, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tapestry Family Services

  • Community/Behavioral Health Agency
  • Ukiah, CA
  • NPI 1932241833
  NPD
• Tapestry Family Services, Inc.

  • Community/Behavioral Health Agency
  • Ukiah, CA
  • NPI 1568191757
  NPD
• County of Mendocino

  • Community/Behavioral Health Agency
  • Fort Bragg, CA
  • NPI 1194853713
  NPD (past)

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1326265901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MASON ST STE 300",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824483",
            "telephone_number": "707-463-3300",
            "fax_number": "707-463-4043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MASON ST STE 300",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824483",
            "telephone_number": "707-463-3300",
            "fax_number": "707-463-4043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 N. Bush Street",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "95482",
            "country_code": "US",
            "telephone_number": "707-463-4303",
            "fax_number": "707-463-4043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE CECCO",
        "first_name": "JORGE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa L. Davis-Ku, M.S.
• Andrea Louise Davis, N.P.
• Trish A Davis
• Zachary Davis, REHAB SPEC
• Ashley Daw, PHARMD
• Gerson Emilio De Leon, P.T
• Clarydilia Oribel De-Paz, MSN, FNP
• Joseph R Deanda Jr.
• Debora Rayhan D.D.S., Inc.
• Gary Decrona, M.D.

• Marriage & Family Therapist in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.