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

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.

• Jason T Cerro, LPC

  • Professional Counselor
  • Mystic, CT
  • NPI 1811248867

  Professional

  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.