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MR. JEFF CITRO M.A., M.DIV.
NPI 1568716918
Counselor - Professional in Brockton, MA

Active since November 07, 2012PECOS Enrolled
1115 W CHESTNUT ST, BROCKTON, MA 02301(508) 580-4691 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Jeff Citro M.a., M.div. NPPES

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

MR. JEFF CITRO M.A., M.DIV. (NPI 1568716918) is an individual professional provider in Brockton, Massachusetts, licensed in Colorado (LPC.0015804) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568716918
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JEFF CITROCredential: M.A., M.DIV.
Location Address1115 W CHESTNUT STBrockton, MA 02301-7501
Mailing Address1283 Kelly Johnson BlvdColorado Springs, CO 80920-3925 · (719) 413-6776
Phone(508) 580-4691
Sole ProprietorYes
Enumeration DateNovember 7, 2012
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1568716918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · LPC.0015804
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1115 W CHESTNUT ST, Brockton, MA 02301
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Jeff Citro M.a., M.div. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jeff Citro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heart Of Boardwalk Inc
1,771 mi
Adult Mental Health
709 E 12TH AVE
Denver, CO 80203
  • Reassigned Medicare billing, Colorado enrollment
  • 6 clinicians in this Medicare group
NPI 1134129034 (303) 830-8805

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

KATHERINE SHAO
Physical Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
KATELIN ANN SWAN
Student in an Organized Health Care Education/Training Program
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
JENNA M MONACO
Social Worker (Clinical)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. JILLIAN MARIE HAYDEN BA PSYCHOLOGY
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
MS. CAITLIN C EDELMAN M.A.
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
AMANDA EICK
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
REBECCA CLEGG
Counselor (Mental Health)
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 580-4691
COURTNEY MAULEN
Occupational Therapist
1115 W CHESTNUT ST
BROCKTON, MA 02301
Plymouth County (508) 559-0473

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 Jeff Citro's NPI number?

The NPI number for Jeff Citro is 1568716918. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Jeff Citro located?

Jeff Citro practices at 1115 W Chestnut St, Brockton, MA 02301. The listed phone number is (508) 580-4691.

What is Jeff Citro's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jeff Citro enrolled in Medicare?

Yes. Jeff Citro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jeff Citro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeff Citro reassigns Medicare benefits to Heart Of Boardwalk Inc (Denver, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeff Citro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeff Citro accept?

Health plans from Select Health list Jeff Citro 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 Jeff Citro was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.