Albert Anthony Guerra, LMFT
Individual provider Active NPI Marriage & Family Therapist · Massapequa, NY
NPI 1043087240 · NPPES record last updated Dec 13, 2023
Key facts
- NPI
- 1043087240
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 002213 (NY)
- Practice address
- 727 N Broadway Ste B1
Massapequa, NY 11758-2348 - Phone
- (516) 301-7756
- NPI assigned
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260318003318 | NY | Practitioner - Marriage and Family Therapist | 5193209062 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002213 | NY | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Medical Associates, P.C. | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 002213 | NY | Yes |
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
Other providers in Massapequa, NY
- Laura-Lee Griffith
- Judy Ann Grima
- Alisha Grimm
- Caterina Grisanti
- Alexandra Fay Gross
- Barbara Andrade Guimaraes
- Larissa Carmel Gutierrez
- Michael Guzzardi
- Casey Hagerstrom
- Gregory Daniel Haggerty
All providers in Massapequa, NY · Marriage & Family Therapist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.