Priscilla Marie Gutierrez, M.S., LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CMH0200861 Issued in NM

Practice address

9741 Candelaria Rd NE
Albuquerque, NM 87112-1401

Phone

(505) 219-3620

NPI assigned

Jun 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1043531783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 MERCANTIL AVE",
            "city": "ANTHONY",
            "state": "NM",
            "postal_code": "880218443",
            "telephone_number": "915-346-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 CANDELARIA RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121401",
            "telephone_number": "505-219-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "PRISCILLA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CMH0200861",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gutierrez
• Nicole D Gutierrez, RPH
• Olivia Gutierrez
• Pamela Gutierrez, RN CDE
• Pamela Ann Gutierrez, LADAC
• Rachel Gutierrez
• Randy Gutierrez
• Reuben G Gutierrez, DDS
• Roselle Julie Gutierrez, NP
• Samantha Gutierrez

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.