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: July 19, 2026.

  • Individual
  • Male
  • Counselor
  • Mental Health
  • Accepts Insurance

About CEDRIC STATON

This page provides the complete NPI Profile along with additional information for Cedric Staton, a provider established in San Diego, California with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1417616236 assigned on December 2021. The practitioner's primary taxonomy code is 101YM0800X with license number 11040 (CA). The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1417616236 Verify this NPI
Provider Name
MR. CEDRIC ANTRON STATON LPCC
Gender
Male
Entity Type
Individual
Location Address
2525 CAMINO DEL RIO S STE 313 SAN DIEGO, CA 92108
Location Phone
(442) 322-8143
Location Fax
(619) 598-0594
Mailing Address
2772 PIANTINO CIR SAN DIEGO, CA 92108
Mailing Phone
(704) 492-9595
Is Sole Proprietor?
Yes
Enumeration Date
12-08-2021
Last Update Date
03-27-2022
Code Navigator

A mental health counselor like Cedric Staton provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Mental Health

Taxonomy Code
101YM0800X
Type
Behavioral Health & Social Service Providers
License No.
11040
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect 1500 Gold - EPO
  • Connect 6000 Silver - EPO
  • Connect 9800 Bronze - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
LPCC11040OTHER (01)CACALIFORNIA BOARD OF BEHAVIORAL SCIENCES

Reviews for MR. CEDRIC ANTRON STATON LPCC

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Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physical Medicine & Rehabilitation
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
Clinic/Center (Health Service)
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
Counselor (Mental Health)
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
Social Worker (Clinical)
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
Marriage & Family Therapist
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
Health and Wellness Coach
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108
Psychologist (Clinical)
2525 CAMINO DEL RIO S STE 313
SAN DIEGO, CA 92108

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417616236, enumerated as an "individual" on December 08, 2021.

The provider is located at 2525 CAMINO DEL RIO S STE 313 SAN DIEGO, CA 92108 and the phone number is (442) 322-8143.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Providence Health Plan, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.