Jason T Cerro, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002261 Issued in CT

Practice address

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

Phone

(401) 524-5938

NPI assigned

Sep 29, 2012

Last updated

Sep 29, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jason T Cerro LPC Inc.

  • Professional Counselor
  • Mystic, CT
  • NPI 1639627508
  NPD (past) Authorized official
• Jason T Cerro, LPC LLC

  • Professional Counselor
  • Westerly, RI
  • NPI 1205170396
  NPD (past) Authorized official

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": []
}

• 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. (Mystic River Magnet School)
• Child and Family Agency of Southeastern Connecticut, Inc.

• 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 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.

Verify at the official NPI Registry.