Sally Edwards Guerra, RN, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13512 Issued in TX

Practice address

6625 Wooldridge Rd
#201
Corpus Christi, TX 78414-2916

Phone

(361) 510-3000

Fax

(361) 334-5456

NPI assigned

Feb 12, 2006

Last updated

Jan 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1139702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1033182746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "#201",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-510-3000",
            "fax_number": "361-334-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 WOOLDRIDGE RD",
            "address_2": "#201",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784142916",
            "telephone_number": "361-510-3000",
            "fax_number": "361-334-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "SALLY",
        "middle_name": "EDWARDS",
        "name_prefix": "Mrs.",
        "credential": "RN, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-12",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "13512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028008301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Aaron Guerra, APRN, FNP-BC
• Eduardo Sallazar Guerra, RN
• Jasmine Guerra
• Mark Daniel Guerra
• Nayelli Guerra
• Victoria Lynn Guerra
• Alberto Guerrero
• Angie Marie Guerrero, FNP-C
• Gerardo Guerrero Sr.
• Isaac Guerrero

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.