Individual provider Active NPI

Lilliam Margoth Guajardo

  • Mental Health Counselor
  • Helotes, TX
National Provider Identifier
1104530955
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86756 Issued in TX
Practice address
10231 Huisache FLD
Helotes, TX 78023-3675
Phone
(979) 337-4038
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86756 TX Primary

Addresses

Primary practice location

10231 Huisache FLD
Helotes, TX 78023-3675

Mailing address

10231 Huisache FLD
Helotes, TX 78023-3675
Phone (979) 337-4038

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address GuajardoL1@uthscsa.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260609002588 TX Practitioner - Mental Health Counselor 6103397245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grit and Grace Counseling PLLCGroup PAC ID 1557719622, 6 clinicians

Practice addresses (Care Compare)

11653 Galm Rd
BLDG 2
San Antonio, TX 78254-9506
Phone (210) 446-6454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86756TXMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: guajardol1@uthscsa.edu

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": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1104530955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10231 HUISACHE FLD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233675",
            "telephone_number": "979-337-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10231 HUISACHE FLD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780233675",
            "telephone_number": "979-337-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "LILLIAM",
        "middle_name": "MARGOTH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GuajardoL1@uthscsa.edu",
            "affiliation": "N",
            "endpointDescription": "Workplace email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "10231 Huisache Fld",
            "city": "Helotes",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780233675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.