Active NPI
Mariana Guzman, LMFT, LAADC
- Marriage & Family Therapist
- Vista, CA
National Provider Identifier
1093025546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 80015
- Practice address
- 410 S Melrose Dr Ste 105
Vista, CA 92081-6607 - Phone
- (760) 978-8300
- Fax
- (888) 292-0251
- NPI assigned
- Oct 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LR02601116 | CA | |
| Mental Health Counselor | 101YM0800X | 80015 | CA | |
| Marriage & Family Therapist | 106H00000X | 80015 | CA | Primary |
Addresses
Primary practice location
410 S Melrose Dr Ste 105
Vista, CA 92081-6607
Mailing address
2200 Bliss Cir
Oceanside, CA 92056-3594
Phone (760) 978-8300
Other practice location 1
577 E Elder St
Suite B
Fallbrook, CA 92028
Phone (760) 978-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093025546 | Medicaid | CA | |
| 1093025546 | Other | CA | MEDI-CAL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LR02601116 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 80015 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1093025546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 BLISS CIR",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920563594",
"telephone_number": "760-978-8300",
"fax_number": "888-292-0251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 S MELROSE DR STE 105",
"city": "VISTA",
"state": "CA",
"postal_code": "920816607",
"telephone_number": "760-978-8300",
"fax_number": "888-292-0251"
}
],
"practiceLocations": [
{
"address_1": "577 E Elder St",
"address_2": "Suite B",
"address_purpose": "LOCATION",
"city": "Fallbrook",
"state": "CA",
"postal_code": "92028",
"country_code": "US",
"telephone_number": "760-978-8300",
"fax_number": "888-292-0251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "MARIANA",
"name_prefix": "Mrs.",
"credential": "LMFT, LAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-18",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LR02601116",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "80015",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "80015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093025546",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "1093025546",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.