Active NPI
Jane E Guiles, LCSW
- Mental Health Counselor
- Fellsmere, FL
National Provider Identifier
1104253392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 12196 County Road 512
Fellsmere, FL 32948-5463 - Phone
- (772) 257-8224
- Fax
- (772) 213-3157
- NPI assigned
- Oct 2, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW8750 | FL | |
| Mental Health Counselor | 101YM0800X | FL | Primary |
Addresses
Primary practice location
12196 County Road 512
Fellsmere, FL 32948-5463
Mailing address
1545 9TH St SW
Vero Beach, FL 32962-4312
Phone (772) 257-8224
Other practice location 1
13505 US Highway 1
Sebastian, FL 32958-3759
Phone (772) 257-8224
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SW8750 | Other | FL | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1104253392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 9TH ST SW",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329624312",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12196 COUNTY ROAD 512",
"city": "FELLSMERE",
"state": "FL",
"postal_code": "329485463",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157"
}
],
"practiceLocations": [
{
"address_1": "13505 US Highway 1",
"address_purpose": "LOCATION",
"city": "Sebastian",
"state": "FL",
"postal_code": "329583759",
"country_code": "US",
"telephone_number": "772-257-8224",
"fax_number": "772-213-3157",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILES",
"first_name": "JANE",
"middle_name": "E",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-02",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW8750",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "SW8750",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fellsmere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.