Guided by Light Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GUIDED BY LIGHT COUNSELING, LLC

Practice address

1448 E Center St Ste a
Pocatello, ID 83201-4105

Phone

(208) 557-1836

NPI assigned

Oct 12, 2021

Organization subpart

No

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

Authorized official

Name

McKenzie Christensen, LCPCNPI 1437661956

Title

Owner/Clinician

Phone

(208) 557-1836

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• McKenzie Dawn Christensen, LCPC

  • Professional Counselor
  • Pocatello, ID
  • NPI 1437661956
  NPD Authorized official

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1215699871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 WILTSHIRE ST",
            "city": "CHUBBUCK",
            "state": "ID",
            "postal_code": "832025353",
            "telephone_number": "208-681-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1448 E CENTER ST STE A",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832014105",
            "telephone_number": "208-557-1836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED BY LIGHT COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "208-557-1836",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Groll
• Joshua Nelson Gruber, DDS
• Guardian Flight LLC
• Aliitasi Lynn Guerrero
• Emilio Kenneth Guerrero, PTA
• Kamilla Gundersen, NP
• Siarra Diane Gundersen
• Cory Gunn, PA
• Jennilee Gunter
• Roberta Gustafson, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.