Active NPI
Albert Anthony Guerra, LMFT
- Marriage & Family Therapist
- Massapequa, NY
National Provider Identifier
1043087240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 002213
- Practice address
- 727 N Broadway Ste B1
Massapequa, NY 11758-2348 - Phone
- (516) 301-7756
- NPI assigned
- Dec 7, 2023
- Last updated
- Dec 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 002213 | NY | Primary |
Addresses
Primary practice location
727 N Broadway Ste B1
Massapequa, NY 11758-2348
Mailing address
1000 Main St Ste 1
Port Jefferson, NY 11777-2250
Phone (516) 301-7756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1377 Motor Pkwy
Suite 102
Islandia, NY 11749-5249
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002213 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Medical Associates, P.C. | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Victory Recovery Partners
- Substance Use Disorder Rehabilitation Clinic/Center
- Farmingville, NY
- NPI 1992210231
-
- Counselor
- Amityville, NY
- NPI 1790653236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1043087240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 MAIN ST STE 1",
"city": "PORT JEFFERSON",
"state": "NY",
"postal_code": "117772250",
"telephone_number": "516-301-7756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 N BROADWAY STE B1",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582348",
"telephone_number": "516-301-7756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "ALBERT",
"middle_name": "ANTHONY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "002213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.