Individual provider Active NPI

Monica Gutierrez

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1104577311
Registry record updated Jan 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84006 Issued in TX
Practice address
8140 Walnut Hill LN Ste 320
Dallas, TX 75231-4328
Phone
(972) 383-9106
Fax
(972) 474-9043
NPI assigned
Jan 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2022

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 84006 TX Primary

Addresses

Primary practice location

8140 Walnut Hill LN Ste 320
Dallas, TX 75231-4328

Mailing address

6760 Windhaven Pkwy Apt 2042
The Colony, TX 75056-6882
Phone (972) 383-9106

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SimplePractice Other

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Hollow Health & Wellness, PLLC CurrentSince Jul 24, 2022 Accepting new patients

Locations

8140 Walnut Hill Ln
Ste 320
Dallas, TX 75231
Phone (214) 449-1156

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1104577311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 WINDHAVEN PKWY APT 2042",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566882",
            "telephone_number": "972-383-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN STE 320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314328",
            "telephone_number": "972-383-9106",
            "fax_number": "972-474-9043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MONICA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EMR",
            "address_1": "8140 Walnut Hill Ln Ste 320",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752314328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.