Jackie Guzman, CCAR – Peer Specialist

Key facts

NPI: 1083449581
Entity type: Individual (NPI type 1)
Primary specialty: Peer Specialist 175T00000X
Practice address: 2329 Center St
Boyne Falls, MI 49713-9268
Phone: (231) 535-2822
NPI assigned: Sep 4, 2024
Sex: Female
Sole proprietor: No

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.

Bear River Primary Care Family Medicine Physician · Gaylord, MI · NPI 1609427541

NPD
Walloon Lake Recovery Lodge, LLC Substance Abuse Rehabilitation Facility · Boyne Falls, MI · NPI 1750791505

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Bear River Primary Care		Current since Sep 8, 2024	Accepting new patients
Walloon Lake Recovery Lodge, LLC		Current since Sep 8, 2024	Accepting new patients

Locations

2329 Center St
Boyne Falls, MI 49713
Phone (231) 758-4566

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/21307/brand/1/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Peer Specialist	175T00000X			Yes

Addresses

Primary practice location

2329 Center St
Boyne Falls, MI 49713-9268

Mailing address

2329 Center St
Boyne Falls, MI 49713-9268
Phone (231) 758-4566

Other practice location 1

2329 Center St
Boyne Falls, MI 49713-9268
Phone (231) 758-4566

Other providers in Boyne Falls, MI

Rachel Eckenrod, BS, CADC-DP
Gretchen Fontichiaro, CAADC-DP, MA COUNSEL
Chris Frasz
Katrina Freistatter, CADC
Genevieve Carol Groover, LLMSW
Tresa Guzniczak, CCAR
Leeanne Hofer
Ann Teresa Holland, LPC-S, NCC
Alexandra Khan
Adam Labarthe

All providers in Boyne Falls, MI · Peer Specialist in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.