JASON T CERRO LPC INC. (NPI# 1639627508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639627508 |
| Entity Type | Organization |
| Organization Name | JASON T CERRO LPC INC. |
| Practice Address |
3175 Gold Star Hwy Unit 104, G3 Mystic CT 06355-1200 |
| Mailing Address |
14 Fieldstone Way Westerly RI 02891-2697 |
| Practice Telephone | 4015245938 |
| Mailing Telephone | 4015245938 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Authorized Official Name | JASON T CERRO (PRESIDENT) |
| Authorized Official Telephone | 4015245938 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
002261 | CT | Behavioral Health & Social Service Providers |
| Street Address |
3175 GOLD STAR HWY UNIT 104, G3 |
| City | MYSTIC |
| State | CT |
| Zip Code | 06355-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841496981 | Ann Traeger-spees | Physical Therapist | 3175 Gold Star Hwy, Suite 5, Mystic, CT 06355-1200 | 2007-06-25 |
| 1811248867 | Jason T Cerro | Counselor | 3175 Gold Star Hwy, 104, G3, Mystic, CT 06355-1200 | 2012-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770076069 | Brian Kristofer Owczarski | Physical Therapist | 80 Stonington Rd Ste A-3, Mystic, CT 06355 | 2018-06-11 |
| 1922554120 | Kayla Nickerson Gauthier | Marriage & Family Therapist | 41 Williams Ave, Mystic, CT 06355 | 2016-08-28 |
| 1417351156 | Lisa Pacifico | Physical Therapist | 44 Maritime Dive, Mystic, CT 06355 | 2014-10-09 |
| 1619386539 | Jennifer Rock | Occupational Therapist | 44 Maritime Drive, Pendleton Health and Rehab Center, Mystic, CT 06355 | 2014-08-05 |
| 1346565843 | Karen Lucille Hanscom | Psychologist | 47 Water St. #203, Mystic, CT 06355 | 2010-03-29 |
| 1346415627 | Eldon Richard Kilpatrick | Physical Therapy Assistant | 186 Jerry Browne Rd, Mystic, CT 06355 | 2008-04-28 |
| 1760688931 | Heather Elyse Geyer | Physical Therapist | 2440 Gold Star Hwy Suite 201, Mystic, CT 06355 | 2007-06-25 |
| 1982728754 | Falck Eye Center LLC | Ophthalmology | 35 Washington Street, Mystic, CT 06355 | 2007-03-19 |
| 1881724326 | Richard Irwin Steinberg | Dentist | 117 Cow Hill Road, Mystic, CT 06355 | 2007-03-06 |
| 1992890362 | Coastal Dermatology, P.C. | Dermatology | 55 Willow Street, Mystic, CT 06355 | 2006-10-03 |
| Find all providers in zip 06355 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851939870 | Kathleen Fitzgerald Maranda | Counselor | 85a Denison Ave, Mystic, CT 06355-2710 | 2019-12-20 |
| 1164065397 | Craig A Holch | Counselor | 204 Mistuxet Ave, Mystic, CT 06355-3009 | 2019-10-21 |
| 1063912780 | Crystal Eva Morlock | Counselor | 41 Williams Ave Fl 2, Mystic, CT 06355-2918 | 2018-02-19 |
| 1518169119 | Julie Boardsen-bean | Counselor | 7 Masons Island Rd, Mystic, CT 06355-2938 | 2007-06-05 |
| 1811248867 | Jason T Cerro | Counselor | 3175 Gold Star Hwy, 104, G3, Mystic, CT 06355-1200 | 2012-09-29 |
| 1457590093 | Kristi R Varisco | Counselor | 11 Main St, Suite 10-11, Mystic, CT 06355-3654 | 2009-02-04 |
| 1518061704 | Lisa Venditto | Counselor | 12 Roosevelt Ave, Mystic, CT 06355-2809 | 2006-09-11 |
| 1285658229 | Beth B Avery | Counselor | 5 School St, Mystic, CT 06355-2717 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225013 | Madison Kathleen Reimondo | Counselor | 185 Silas Deane Hwy Ste 2, Wethersfield, CT 06109-1219 | 2020-11-06 |
| 1336740935 | Art Therapy Explorations LLC | Counselor | 23 Temple St, New Haven, CT 06510-2714 | 2020-11-02 |
| 1992303853 | Steps Counseling LLC | Counselor | 182 Candlewyck Dr, Newington, CT 06111-5229 | 2020-10-13 |
| 1578170965 | Elizabeth Ferguson | Counselor | 183 Montowese St Ste G, Branford, CT 06405-3869 | 2020-09-29 |
| 1912514605 | Well Beyond Counseling Pllc | Counselor | 2 Tunxis Rd Ste 201, Tariffville, CT 06081-9687 | 2020-09-26 |
| 1033725510 | Bianca Mcdaniel | Counselor | 1652 Meriden Rd Apt 22, Waterbury, CT 06705-3922 | 2020-09-20 |
| 1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
| 1669086799 | Berry Family Psychotherapy, LLC | Counselor | 27 White Rd, Middletown, CT 06457-2321 | 2020-09-05 |
| 1548874092 | Catherine Kimball | Counselor | 386 Cotton Hill Rd, New Hartford, CT 06057-3402 | 2020-09-02 |
| 1871106674 | Mindful Vision Counseling | Counselor | 304 W Main St Ste 21057, Avon, CT 06001-4355 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.