Individual provider Active NPI

Mayrena Guerrero, LMHC

  • Mental Health Counselor
  • West Springfield, MA
National Provider Identifier
1083929533
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10012 Issued in MA
Practice address
201 Park Ave Ste 9
West Springfield, MA 01089-3366
Phone
(413) 213-2979
Fax
(413) 304-3993
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000010012 MA
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 10012 MA Primary

Addresses

Primary practice location

201 Park Ave Ste 9
West Springfield, MA 01089-3366

Mailing address

201 Park Ave Ste 9
West Springfield, MA 01089-3366
Phone (413) 213-2979

Other practice location 1

16 Center St Ste 509
Northampton, MA 01060-3031
Phone (413) 768-1360

Other names 1

  • Miss Mayrena Hansen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20250226001388 MA Practitioner - Mental Health Counselor 7618329996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorful Resilience LLCGroup PAC ID 1355793639, 4 clinicians

Practice addresses (Care Compare)

201 Park Ave
Suite 9
West Springfield, MA 01089-3366
Phone (413) 213-2979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000010012MAMDMental Health Counselor
10012MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Colorful Resilience LLC Single Specialty CurrentSince Jan 1, 2024 Accepting new patients

Locations

201 Park Ave
Ste 9
West Springfield, MA 01089
Phone (413) 213-2979

Organizations & group practices 1

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": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1083929533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 PARK AVE STE 9",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893366",
            "telephone_number": "413-213-2979",
            "fax_number": "413-304-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 PARK AVE STE 9",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893366",
            "telephone_number": "413-213-2979",
            "fax_number": "413-304-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Center St Ste 509",
            "address_purpose": "LOCATION",
            "city": "Northampton",
            "state": "MA",
            "postal_code": "010603031",
            "country_code": "US",
            "telephone_number": "413-768-1360",
            "fax_number": "413-304-3993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MAYRENA",
        "name_prefix": "Miss",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "000010012",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYRENA",
            "last_name": "HANSEN",
            "prefix": "MISS",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.