Michael David Ceccon, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12458 Issued in CA

Practice address

5875 Friars Rd
San Diego, CA 92110-6012

Phone

(858) 232-8322

NPI assigned

Aug 2, 2016

Last updated

Nov 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wellmind Online Ca Licensed Clinical Social Worker Prof Corp

  dba Wellmind

  • Psychiatry Physician
  • Palo Alto, CA
  • NPI 1447871272
  Medicare reassignment NPD

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1811440233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 KEMPER ST STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104907",
            "telephone_number": "619-523-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5875 FRIARS RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921106012",
            "telephone_number": "858-232-8322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3340 Kemper St Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921104907",
            "country_code": "US",
            "telephone_number": "619-523-8121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CECCON",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-02",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "3301",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "12458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Ceballos
• Natalia Cristina Cebollero Ruiz
• Danielle Marie Cebula, SUDRC #9610
• Sherry Lee Ceccanese, R.N.
• Dominique Ceccon, SUD
• Debbie Cecena
• Julissa Cecena
• Vanessa Cecena
• Brandon A Cecil
• Grace Lumenario Cecilio, RN

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.