Jeanne C Cetrulo, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0142621 Issued in NM

Practice address

217 Paseo del Pueblo Norte Ste E
Taos, NM 87571-5963

Phone

(575) 825-3522

NPI assigned

Sep 11, 2011

Last updated

Apr 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Jeanne Goins Former name

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.

• Belong Counseling and Consulting, LLC

  • Community/Behavioral Health Agency
  • Taos, NM
  • NPI 1568198182

  Mental Health

  NPD
• Darlin Inc Dba Horizon Services

  • Mental Health Counselor
  • Las Cruces, NM
  • NPI 1326080904
  NPD (past)

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

{
    "created_epoch": "1315699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682121600000",
    "number": "1487936936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16199",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880046199",
            "telephone_number": "575-527-5770",
            "fax_number": "575-532-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PASEO DEL PUEBLO NORTE STE E",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875715963",
            "telephone_number": "575-825-3522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "151 S Walnut St",
            "address_2": "Suite A-1",
            "address_purpose": "LOCATION",
            "city": "Las Cruces",
            "state": "NM",
            "postal_code": "880012605",
            "country_code": "US",
            "telephone_number": "575-527-5770",
            "fax_number": "575-532-1928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "168 Blueberry Hill Rd",
            "address_purpose": "LOCATION",
            "city": "El Prado",
            "state": "NM",
            "postal_code": "875297402",
            "country_code": "US",
            "telephone_number": "575-825-3522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CETRULO",
        "first_name": "JEANNE",
        "middle_name": "C",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-11",
        "last_updated": "2023-04-22",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0142621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31306560",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNE",
            "last_name": "GOINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Fernando Carreon, BA
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• Christa Danell Castro, PA
• Abran Chacon, BMS
• Marcos Chacon
• Selah Chamberlain, D.O.M., L. AC.
• Denise M Chambers, BMS
• Stan H Chao, M.D.

• Mental Health Counselor in Taos, NM
• Providers in Taos, NM by specialty
• Mental Health Counselor in New Mexico

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