Guide Program, Inc.

Primary specialty

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

Legal business name

GUIDE PROGRAM, INC.

Doing business as

GUIDE Independence PRP - Montgomery TAY

Practice address

18321 Lost Knife Cir
101
Gaithersburg, MD 20886-0305

Phone

(301) 948-1000

Fax

(301) 937-4378

NPI assigned

Mar 18, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott K. Birdsong, LCSW-CNPI 1962526772

Title

Executive Director & President

Phone

(301) 549-3602

Specialties & licenses 1

Addresses

Other names 1

• GUIDE Independence PRP - Montgomery TAY Doing business as

Tax ID family

Guide Independence PRP - Montgomery Tay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Guide Program, Inc

  dba GUIDE Independence PRP - Prince George's

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New Carrollton, MD
  • NPI 1437273372
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott K. Birdsong, LCSW-C

  • Clinical Social Worker
  • Laurel, MD
  • NPI 1962526772
  Authorized official Same address or phone

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255455192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8643 CHERRY LN",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207076200",
            "telephone_number": "301-549-3602",
            "fax_number": "301-549-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 LOST KNIFE CIR",
            "address_2": "101",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208860305",
            "telephone_number": "301-948-1000",
            "fax_number": "301-937-4378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDE PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRDSONG",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR & PRESIDENT",
        "authorized_official_telephone_number": "301-549-3602",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-C"
    },
    "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": [
        {
            "organization_name": "GUIDE Independence PRP - Montgomery TAY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Annie Guan, PHARM.D.
• Jiayi Guan
• Kristen Gudenzi, SLP
• Denine Maria Gudnitz, LCPC
• Rosemary Guerrero, LMSW
• Guiding Principles Counseling Services LLC
• Luzmaria Guillen, DNP FNP-BC RN
• Yumei Gung, L.AC
• Heather Elaine Gunn, LDN
• Huimin Guo, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Gaithersburg, MD
• Providers in Gaithersburg, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.