Active NPI
X'Cel M Cedeno, LPC, LMHC
- Mental Health Counselor
- Kennesaw, GA
National Provider Identifier
1790028447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC010115
- Practice address
- 3091 Cobb Pkwy NW Apt 1822
Kennesaw, GA 30152-5892 - Phone
- (508) 826-1232
- NPI assigned
- Apr 1, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10482 | MA | |
| Mental Health Counselor | 101YM0800X | 9867 | MA | |
| Mental Health Counselor | 101YM0800X | LPC010115 | GA | Primary |
Addresses
Primary practice location
3091 Cobb Pkwy NW Apt 1822
Kennesaw, GA 30152-5892
Mailing address
3091 Cobb Pkwy NW Apt 1822
Kennesaw, GA 30152-5892
Phone (508) 826-1232
Other names 1
- X'Cel M Pizarro
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
| License | State | Type | Specialty |
|---|---|---|---|
| 10482 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| LPC010115 | GA | MD | Mental Health Counselor |
| 9867 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerated Recovery Centers | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Marietta, GA
- NPI 1467611129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1790028447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3091 COBB PKWY NW APT 1822",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301525892",
"telephone_number": "508-826-1232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3091 COBB PKWY NW APT 1822",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301525892",
"telephone_number": "508-826-1232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CEDENO",
"first_name": "X'CEL",
"middle_name": "M",
"credential": "LPC, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-01",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "10482",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9867",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "LPC010115",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "X'CEL",
"last_name": "PIZARRO",
"middle_name": "M",
"credential": "LADC",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.