Jerry Varrone, MA,CAC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACC 713 Issued in CO

Practice address

125 N Parkside Dr
204
Colorado Springs, CO 80909-6097

Phone

(719) 633-3290

NPI assigned

Dec 19, 2013

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1387411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387411200000",
    "number": "1972924801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 VINDICATOR DR",
            "address_2": "APT 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193606",
            "telephone_number": "719-229-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N PARKSIDE DR",
            "address_2": "204",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809096097",
            "telephone_number": "719-633-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARRONE",
        "first_name": "JERRY",
        "credential": "MA,CAC III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-19",
        "last_updated": "2013-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACC 713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie E Varnet, MD
• Eli Varney, LPC
• Darian Amber Varnum
• Robert C Varnum, MD
• Kaitlin Varriano, BCBA
• Sophia Christina Vasilakos
• Ahviana Vasquez
• Katherine Vasquez
• Regina Vasquez, IBCLC
• Shanee Vasquez

• Addiction (Substance Use Disorder) Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2013; 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.