Individual provider Active NPI

Nicolette Laine Guzie, MA, LPC, LMHC

  • Mental Health Counselor
  • Saint Petersburg, FL
National Provider Identifier
1174993596
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH13852 Issued in FL
Practice address
2100 45TH Ave N
Saint Petersburg, FL 33714-4136
Phone
(813) 787-7577
NPI assigned
Sep 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC006451 PA
Mental Health Counselor 101YM0800X MH13852 FL Primary

Addresses

Primary practice location

2100 45TH Ave N
Saint Petersburg, FL 33714-4136

Mailing address

2100 45TH Ave N
Saint Petersburg, FL 33714-4136
Phone (813) 787-7577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH13852FLMDMental Health Counselor
PC006451PAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1174993596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 45TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337144136",
            "telephone_number": "813-787-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 45TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337144136",
            "telephone_number": "813-787-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZIE",
        "first_name": "NICOLETTE",
        "middle_name": "LAINE",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-28",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC006451",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; 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.