Jeffrey Alfonso Guance, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6104 Issued in CT

Practice address

130 Elm St
Old Saybrook, CT 06475-4105

Phone

(860) 388-9656

NPI assigned

Oct 11, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Project Courage, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Old Saybrook, CT
  • NPI 1609750298
  NPD
• Project Courage, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Old Saybrook, CT
  • NPI 1659716405
  NPD

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1134844137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754105",
            "telephone_number": "860-388-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754105",
            "telephone_number": "860-388-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANCE",
        "first_name": "JEFFREY",
        "middle_name": "ALFONSO",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "6104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bestnote",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "130 Elm St",
            "city": "Old Saybrook",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064754105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane J Gracewski, LICSW
• Sarah Mairi Graham-Shaw
• Chelsea Wright Graham
• James Henry Gratton
• Jennifer P Gray, MD
• Guiding Star Network, LLC
• Leonard G. Guitar, PSY.D.
• Harbor Home Care Co.
• Carla Harper, LPC
• Marjorie Glosband Hart, LCSW

• Mental Health Counselor in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.