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CEDRIC JEFFERSON
NPI 1194438721
Counselor - Mental Health in Mesa, AZ

Active since December 28, 2022
1819 S DOBSON RD STE 203, MESA, AZ 85202(310) 435-7622 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cedric Jefferson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CEDRIC JEFFERSON (NPI 1194438721) is an individual mental health provider in Mesa, Arizona and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1194438721
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCEDRIC JEFFERSON
Location Address1819 S DOBSON RD STE 203Mesa, AZ 85202-5665
Mailing Address10606 Haas AveLos Angeles, CA 90047-4336 · (310) 429-1453
Phone(310) 435-7622
Sole ProprietorNo
Enumeration DateDecember 28, 2022
NPPES CertifiedDecember 28, 2022
✔ NPI 1194438721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1819 S DOBSON RD STE 203, Mesa, AZ 85202
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASMINE SMITH
Counselor (Mental Health)
1819 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 687-0680
HEROS ADVOCACY GROUP LIMITED LIABILITY COMPANY
Community/Behavioral Health
1819 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 687-0680
BARBARA A KEESEE LMSW
Social Worker
1819 S DOBSON RD STE 203
MESA, AZ 85202
Maricopa County (480) 687-0680

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cedric Jefferson's NPI number?

The NPI number for Cedric Jefferson is 1194438721. It was assigned to this individual provider in the NPPES registry on December 28, 2022.

Where is Cedric Jefferson located?

Cedric Jefferson practices at 1819 S Dobson Rd Ste 203, Mesa, AZ 85202. The listed phone number is (310) 435-7622.

What is Cedric Jefferson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Cedric Jefferson was last updated on December 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.