Individual provider Active NPI

Christina Louise Guerrero

  • Professional Counselor
  • Jefferson City, MO
National Provider Identifier
1063949659
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2017014822 Issued in MO
Practice address
1026 Northeast Dr Ste B
Jefferson City, MO 65109-2517
Phone
(573) 690-7919
Fax
(573) 636-7771
NPI assigned
May 15, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2017014822 MO Primary

Addresses

Primary practice location

1026 Northeast Dr Ste B
Jefferson City, MO 65109-2517

Mailing address

PO Box 105775
Jefferson City, MO 65110-5775
Phone (573) 690-7919

Other identifiers 1

IdentifierTypeStateIssuer
490042882MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231206001614 MO Practitioner - Mental Health Counselor 4880043660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1026 Northeast Dr B
Counseling Office
Jefferson City, MO 65109-2517
Phone (573) 690-7919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse of Hope & Healing, LLC CurrentSince Nov 10, 2023 Accepting new patients
Tri-County Counseling Services, Inc. PastSince Nov 12, 2014 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1063949659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105775",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651105775",
            "telephone_number": "573-690-7919",
            "fax_number": "573-886-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 NORTHEAST DR STE B",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651092517",
            "telephone_number": "573-690-7919",
            "fax_number": "573-636-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "CHRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017014822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490042882",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson City, MO

Sources for this page

Verify at the official NPI Registry.