Jennifer Guynup, LMHC

Key facts

NPI

1124593678

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

013427-01 (NY)

Practice address

2155 State Route 22B
Morrisonville, NY 12962-3417

Phone

(518) 563-8000

NPI assigned

Oct 11, 2018

Sex

Female

Sole proprietor

No

Organizations & group practices 4

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.

• Behavioral Health Services North, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Morrisonville, NY · NPI 1689621468
  Medicare reassignment Care Compare group NPD NY
• Behavioral Health Services North, Inc. Mental Health Clinic/Center (Including Community Mental Health Center) · Queensbury, NY · NPI 1447005541
  NPD
• Clinton County Clinic/Center · Plattsburgh, NY · NPI 1114979945
  NPD (past)
• Clinton County Mental Health Counselor · Plattsburgh, NY · NPI 1164465902
  NPD (past) ADDICTION (SUBSTANCE USE DISORDER)

Medicare Care Compare profile

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Health Services North, Inc. (68 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 28, 2023.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1124593678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 STATE ROUTE 22B",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "129623417",
            "telephone_number": "518-563-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 STATE ROUTE 22B",
            "city": "MORRISONVILLE",
            "state": "NY",
            "postal_code": "129623417",
            "telephone_number": "518-563-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1703 Front St",
            "address_purpose": "LOCATION",
            "city": "Keeseville",
            "state": "NY",
            "postal_code": "129443619",
            "country_code": "US",
            "telephone_number": "518-834-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 Arizona Ave Ste 1500",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129034908",
            "country_code": "US",
            "telephone_number": "518-565-4060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUYNUP",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-11",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "32555",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P109911",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013427-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrisonville, NY

• Jennifer Gilbert
• Heather Mae Goddeau, LPN
• Marisa Gomez, RN
• Mallory Guay, RN
• Katie Lynn Gushlaw, RN
• Cynthia S Haley, TSHH
• Kevin Hamel
• Johanna Paige Hamelin, RN
• Hayden Artis Hanson
• Tara Hanson, RN

All providers in Morrisonville, NY · Mental Health Counselor in New York