Active NPI
Stacey Guzman-Pacheco
- Counselor
- Fresno, CA
National Provider Identifier
1083173546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2550 W Clinton Ave
Fresno, CA 93705-4206 - Phone
- (559) 264-7521
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Counselor | 101Y00000X | Primary | ||
| Counselor | 101Y00000X | CA | ||
| Clinical Social Worker | 1041C0700X | |||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
2550 W Clinton Ave
Fresno, CA 93705-4206
Mailing address
6045 N Dower Ave
Fresno, CA 93723-9441
Other practice location 1
2010 N Fine Ave
Fresno, CA 93727-1558
Phone (559) 477-9188
Other practice location 2
1925 E Dakota Ave
Fresno, CA 93726-4821
Phone (559) 600-9180
Other practice location 3
2115 Kern St Ste 103M
Fresno, CA 93721-2100
Phone (559) 710-2300
Other names 1
- Stacey Guzman
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1083173546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6045 N DOWER AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937239441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W CLINTON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937054206",
"telephone_number": "559-264-7521"
}
],
"practiceLocations": [
{
"address_1": "2010 N Fine Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937271558",
"country_code": "US",
"telephone_number": "559-477-9188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1925 E Dakota Ave",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937264821",
"country_code": "US",
"telephone_number": "559-600-9180",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2115 Kern St Ste 103M",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937212100",
"country_code": "US",
"telephone_number": "559-710-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN-PACHECO",
"first_name": "STACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STACEY",
"last_name": "GUZMAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.