Individual provider Active NPI

Crystal Marie Guyse, LP, LICSW

  • Psychologist
  • Rochester, MN
National Provider Identifier
1265676258
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
LP5039 Issued in MN
Practice address
3936 E. Frontage Rd Hwy 52. N.
Rochester, MN 55901
Phone
(507) 358-6663
NPI assigned
Apr 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC00532 MN
Psychologist 103T00000X LP5039 MN Primary

Addresses

Primary practice location

3936 E. Frontage Rd Hwy 52. N.
Rochester, MN 55901

Mailing address

781 River Park LN SE
Oronoco, MN 55960-2088
Phone (507) 358-6663

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

State licenses

LicenseStateTypeSpecialty
LPC00532MNMDProfessional Counselor
LP5039MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal M Guyse, LLC CurrentSince Sep 23, 2021 Accepting new patients
Kendra R Henry LLC Professional CurrentSince Nov 1, 2024 Accepting new patients

Locations

2212 2nd St SW
Unit 1
Rochester, MN 55902
Phone (507) 258-4458

3936 Highway 52 N
Rochester, MN 55901
Phone (507) 358-6663

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1265676258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 RIVER PARK LN SE",
            "city": "ORONOCO",
            "state": "MN",
            "postal_code": "559602088",
            "telephone_number": "507-358-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 E. FRONTAGE RD HWY 52. N.",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55901",
            "telephone_number": "507-358-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYSE",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "credential": "LP, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-22",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPC00532",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.