Individual provider Active NPI

Jaquelyn R Guldi, MA, LPC, CAADC, CCTP

  • Professional Counselor
  • Bay City, MI
National Provider Identifier
1104282763
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401019384 Issued in MI
Practice address
4151 Shrestha Dr Ste D
Bay City, MI 48706-2171
Phone
(989) 439-0004
Fax
(989) 220-3409
NPI assigned
Jan 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401019384 MI Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X C-03854 MI
Addiction (Substance Use Disorder) Counselor 101YA0400X 2-01388 MI
Counselor 101Y00000X 6401017355 MI

Addresses

Primary practice location

4151 Shrestha Dr Ste D
Bay City, MI 48706-2171

Mailing address

4151 Shrestha Dr Ste D
Bay City, MI 48706-2171
Phone (989) 439-0004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240501003626 MI Practitioner - Mental Health Counselor 8628418068 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maple Leaf Counseling Services LLCGroup PAC ID 0648642017, 9 clinicians

Practice addresses (Care Compare)

33 White Tail Creek Rd
Suite 2
Saginaw, MI 48638-5896
Phone (989) 220-3060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401017355MIMDCounselor
2-01388MIMDAddiction (Substance Use Disorder) Counselor
C-03854MIMDAddiction (Substance Use Disorder) Counselor
6401019384MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Pathways, LLC CurrentSince Jun 15, 2021 Accepting new patients
Maple Leaf Counseling Services LLC Counselor CurrentSince Apr 24, 2024 Accepting new patients

Locations

4151 Shrestha Dr
Ste D
Bay City, MI 48706
Phone (989) 220-3060

863 N Pine Rd
Ste A
Essexville, MI 48732
Phone (356) 698-9928

33 White Tail Creek Rd
Ste 2
Saginaw, MI 48638
Phone (989) 220-3060

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1104282763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 SHRESTHA DR STE D",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062171",
            "telephone_number": "989-439-0004",
            "fax_number": "989-220-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 SHRESTHA DR STE D",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062171",
            "telephone_number": "989-439-0004",
            "fax_number": "989-220-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULDI",
        "first_name": "JAQUELYN",
        "middle_name": "R",
        "credential": "MA, LPC, CAADC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019384",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-03854",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-01388",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401017355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.