Active NPI
Jennifer Fero, LAC
- Counselor
- Sierra Vista, AZ
National Provider Identifier
1952060964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LAC-20502
- Practice address
- 333 W Wilcox Dr Ste 109
Sierra Vista, AZ 85635-1756 - Phone
- (520) 249-1759
- NPI assigned
- Dec 17, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-20502 | AZ | Primary |
Addresses
Primary practice location
333 W Wilcox Dr Ste 109
Sierra Vista, AZ 85635-1756
Mailing address
333 W Wilcox Dr Ste 109
Sierra Vista, AZ 85635-1756
Phone (520) 249-1759
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952060964 | Medicaid | AZ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jennifer@cornerstonecounseling.us | Direct |
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 |
|---|---|---|---|
| LAC-20502 | AZ | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grieving the Child | Current | Accepting new patients |
Locations
333 W Wilcox Dr
Ste 109
Sierra Vista, AZ 85635
Phone (520) 249-1759
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667779200000",
"number": "1952060964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 W WILCOX DR STE 109",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856351756",
"telephone_number": "520-249-1759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 W WILCOX DR STE 109",
"city": "SIERRA VISTA",
"state": "AZ",
"postal_code": "856351756",
"telephone_number": "520-249-1759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERO",
"first_name": "JENNIFER",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2022-11-07",
"certification_date": "2022-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-20502",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1952060964",
"state": "AZ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jennifer@cornerstonecounseling.us",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "333 W Wilcox Dr",
"city": "Sierra Vista",
"state": "AZ",
"country_code": "US",
"postal_code": "856351789",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sierra Vista, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.