Jason T Cerro, LPC
Counselor, Professional in Mystic, CT. Individual provider (NPI-1).
NPI number1811248867
StatusActive
Last updated in NPPESSep 29, 2012
Details
- NPI
- 1811248867
- Entity type
- Individual (NPI-1)
- Name
- Jason T Cerro
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 29, 2012
- Last updated
- Sep 29, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 002261 | CT | Yes |
Practice location
3175 Gold Star Hwy104, G3
Mystic, CT 06355-1200
Phone 401-524-5938
Mailing address
14 Fieldstone WayWesterly, RI 02891-2697
Phone 401-524-5938
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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