Individual provider Active NPI

Jennifer Guynup, LMHC

  • Mental Health Counselor
  • Morrisonville, NY
National Provider Identifier
1124593678
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
013427-01 Issued in NY
Practice address
2155 State Route 22B
Morrisonville, NY 12962-3417
Phone
(518) 563-8000
NPI assigned
Oct 11, 2018
Last updated
Apr 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32555 NY
Mental Health Counselor 101YM0800X P109911 NY
Mental Health Counselor 101YM0800X 013427-01 NY Primary

Addresses

Primary practice location

2155 State Route 22B
Morrisonville, NY 12962-3417

Mailing address

2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000

Other practice location 1

1703 Front St
Keeseville, NY 12944-3619
Phone (518) 834-5550

Other practice location 2

130 Arizona Ave Ste 1500
Plattsburgh, NY 12903-4908
Phone (518) 565-4060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20240124004034 NY Practitioner - Mental Health Counselor 1355794439 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
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2155 State Route 22B
Morrisonville, NY 12962-3417
Phone (518) 563-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32555NYMDAddiction (Substance Use Disorder) Counselor
013427-01NYMDMental Health Counselor
P109911NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services North, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Behavioral Health Services North, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Clinton County Past Accepting new patients
Clinton County Addiction (Substance Use Disorder) PastSince Mar 19, 2009 Accepting new patients

Locations

2155 State Route 22B
Morrisonville, NY 12962
Phone (518) 562-3847

22 US Oval
Ste 218
Plattsburgh, NY 12903
Phone (518) 563-3315

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.