Individual provider Active NPI

Alyssa Marie Guido, LMHC

  • Mental Health Counselor
  • West Islip, NY
National Provider Identifier
1023372737
Registry record updated Nov 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
008092 Issued in NY
Practice address
74 Leopold Avenue
West Islip, NY 11795-8319
Phone
(631) 517-0165
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 008092 NY Primary

Addresses

Primary practice location

74 Leopold Avenue
West Islip, NY 11795-8319

Mailing address

74 Leopold Avenue
West Islip, NY 11795-1525
Phone (631) 517-0165

Other practice location 1

83 E Main Street
Bay Shore, NY 11706-8319
Phone (631) 517-0165

Other practice location 2

269 W Main St
Bay Shore, NY 11706-8319
Phone (631) 240-4879

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
008092NYMDRegistered Dietitian

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543276800000",
    "number": "1023372737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 LEOPOLD AVENUE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117951525",
            "telephone_number": "631-517-0165",
            "fax_number": "631-586-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 LEOPOLD AVENUE",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117958319",
            "telephone_number": "631-517-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 E Main Street",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068319",
            "country_code": "US",
            "telephone_number": "631-517-0165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 W Main St",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117068319",
            "country_code": "US",
            "telephone_number": "631-240-4879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIDO",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2018-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.