Active NPI
Jason T Cerro, LPC
- Professional Counselor
- Mystic, CT
National Provider Identifier
1811248867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002261
- Practice address
- 3175 Gold Star Hwy
104, G3
Mystic, CT 06355-1200 - Phone
- (401) 524-5938
- NPI assigned
- Sep 29, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002261 | CT | Primary |
Addresses
Primary practice location
3175 Gold Star Hwy
104, G3
Mystic, CT 06355-1200
Mailing address
14 Fieldstone Way
Westerly, RI 02891-2697
Phone (401) 524-5938
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 |
|---|---|---|---|
| 002261 | CT | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason T Cerro LPC Inc. | Professional | Past | Accepting new patients |
| Jason T Cerro, LPC LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348876800000",
"number": "1811248867",
"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": "104, G3",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063551200",
"telephone_number": "401-524-5938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERRO",
"first_name": "JASON",
"middle_name": "T",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-29",
"last_updated": "2012-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "002261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mystic, CT
- Stephanie Buske
- Tess Marie Cagenello
- Etny Raul Candelario, MD
- Edmond Francis Cardinal Jr., MSPT
- Cdmi LLC
- Wade Lindsay Chartier, LADC
- Curt Ira Cheslog, PT, MSPT, OCS
- Child and Family Agency of Southeastern Connecticut Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
- Child and Family Agency of Southeastern Connecticut, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.