Active NPI
Karynn Monique Gutierrez, OTR/L
- Mental Health Counselor
- Redlands, CA
National Provider Identifier
1043400609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- OT 3851
- Practice address
- 760 E Stuart Ave
Redlands, CA 92374-3575 - Phone
- (909) 307-5208
- Fax
- (909) 307-5254
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OT 3851 | CA | Primary |
Addresses
Primary practice location
760 E Stuart Ave
Redlands, CA 92374-3575
Mailing address
760 E Stuart Ave
Redlands, CA 92374-3575
Phone (909) 307-5208
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT 3851 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185753600000",
"number": "1043400609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 E STUART AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923743575",
"telephone_number": "909-307-5208",
"fax_number": "909-307-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 E STUART AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923743575",
"telephone_number": "909-307-5208",
"fax_number": "909-307-5254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "KARYNN",
"middle_name": "MONIQUE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-30",
"last_updated": "2007-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "OT 3851",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.