Jason T Cerro LPC Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002261 Issued in CT

Legal business name

JASON T CERRO LPC INC.

Practice address

3175 Gold Star Hwy
Unit 104, G3
Mystic, CT 06355-1200

Phone

(401) 524-5938

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason T Cerro, LPCNPI 1811248867

Title

President

Phone

(401) 524-5938

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason T Cerro, LPC

  • Professional Counselor
  • Mystic, CT
  • NPI 1811248867
  NPD (past) Authorized official

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1639627508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FIELDSTONE WAY",
            "city": "WESTERLY",
            "state": "RI",
            "postal_code": "028912697",
            "telephone_number": "401-524-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 GOLD STAR HWY",
            "address_2": "UNIT 104, G3",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551200",
            "telephone_number": "401-524-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON T CERRO LPC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "CERRO",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-524-5938",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Mystic, CT
• Providers in Mystic, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.