Gonzalo Guerra

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP15567 Issued in MD

Practice address

325 Hospital Dr Ste 106
Glen Burnie, MD 21061-5806

Phone

(443) 430-2998

Fax

(443) 431-8978

NPI assigned

Jun 26, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1235790601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615806",
            "telephone_number": "443-430-2998",
            "fax_number": "443-431-8978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 HOSPITAL DR STE 106",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615806",
            "telephone_number": "443-430-2998",
            "fax_number": "443-431-8978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "GONZALO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP15567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Grossman, PA-C
• Andrew D. Gruver, D.D.S., F.A.G.D.
• Albert Samuel Grzech Jr., DDS
• Egal H Gudal, MD
• Renine Miafo Guefah
• Mark Jason Guevarra, DMD
• Guidance of Hope LLC
• Octavia Guilbault, LCPC
• Robert Gunn, RPH
• Alok K Gupta, MD

• Mental Health Counselor in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.