Individual provider Active NPI

Nicole Jaramillo Guzman

  • Counselor
  • Dallas, TX
National Provider Identifier
1053204099
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
97509 Issued in TX
Practice address
8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322
Phone
(214) 366-9407
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X HI
Counselor 101Y00000X 97509 TX Primary

Addresses

Primary practice location

8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322

Mailing address

8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322
Phone (214) 366-9407

Other practice location 1

81-6587 Mamalahoa Hwy
Kealakekua, HI 96750
Phone (808) 323-2664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

8111 Lyndon B Johnson Fwy
Suite 900
Dallas, TX 75251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97509TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
North Texas Behavioral Health Authority CurrentSince Jun 3, 2025 Accepting new patients
North Texas Behavioral Health Authority Counselor CurrentSince Jun 3, 2025 Accepting new patients

Locations

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

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.

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1053204099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511322",
            "telephone_number": "214-366-9407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511322",
            "telephone_number": "214-366-9407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81-6587 Mamalahoa Hwy",
            "address_purpose": "LOCATION",
            "city": "Kealakekua",
            "state": "HI",
            "postal_code": "96750",
            "country_code": "US",
            "telephone_number": "808-323-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARAMILLO GUZMAN",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "97509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.