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MR. CEDRIC ANTRON STATON LPCC
NPI 1417616236
Counselor - Mental Health in San Diego, CA

Active since December 08, 2021
2525 CAMINO DEL RIO S STE 313, SAN DIEGO, CA 92108(442) 322-8143(619) 598-0594 Get Directions Write a Review

NPPES record last updated: March 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Cedric Antron Staton Lpcc NPPES

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

MR. CEDRIC ANTRON STATON LPCC (NPI 1417616236) is an individual mental health provider in San Diego, California, licensed in California (11040) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1417616236
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. CEDRIC ANTRON STATONCredential: LPCC
Location Address2525 CAMINO DEL RIO S STE 313San Diego, CA 92108-3784
Mailing Address2772 Piantino CirSan Diego, CA 92108-4736 · (704) 492-9595
Phone(442) 322-8143
Fax(619) 598-0594
Sole ProprietorYes
Enumeration DateDecember 8, 2021
Last NPPES UpdateMarch 27, 2022
NPPES CertifiedMarch 27, 2022
✔ NPI 1417616236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 11040
2525 CAMINO DEL RIO S STE 313, San Diego, CA 92108
Open in Google Maps ↗

Other Identifiers 1

OtherLPCC11040CA · California Board Of Behavioral Sciences

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 7

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

CHING CHEN
Clinic/Center (Health Service)
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
San Diego County (858) 333-7932
ERNA CASTREJON ALVAREZ, LMFT
Counselor (Mental Health)
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
San Diego County (619) 832-6506
GATHER YOUR STRENGTH MARRIAGE AND FAMILY COUNSELING
Marriage & Family Therapist
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
San Diego County (619) 494-0485
MICHELLE L SMITH LCSW
Social Worker (Clinical)
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
San Diego County (858) 522-0956
DR. CHING CHEN D.O.
Physical Medicine & Rehabilitation
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
San Diego County (858) 333-7932
MICHAEL P BEARDEN
Health and Wellness Coach
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
San Diego County (619) 823-6736
ROSS KANTER LMFT
Marriage & Family Therapist
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
San Diego County (619) 737-2085

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 Staton's NPI number?

The NPI number for Cedric Staton is 1417616236. It was assigned to this individual provider in the NPPES registry on December 8, 2021.

Where is Cedric Staton located?

Cedric Staton practices at 2525 Camino Del Rio S Ste 313, San Diego, CA 92108. The listed phone number is (442) 322-8143.

What is Cedric Staton's specialty?

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

What insurance does Cedric Staton accept?

Health plans from Providence Health Plan list Cedric Staton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cedric Staton was last updated on March 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.