Active NPI
Brian Santiago Guzman
- Mental Health Counselor
- Forest, VA
National Provider Identifier
1285539304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704018800
- Practice address
- 1047 Vista Park Dr Ste a
Forest, VA 24551-4362 - Phone
- (434) 382-1123
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704018800 | VA | Primary |
Addresses
Primary practice location
1047 Vista Park Dr Ste a
Forest, VA 24551-4362
Mailing address
PO Box 3351
Lynchburg, VA 24503-0351
Phone (434) 509-6407
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0704018800 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1285539304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3351",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245030351",
"telephone_number": "434-509-6407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 VISTA PARK DR STE A",
"city": "FOREST",
"state": "VA",
"postal_code": "245514362",
"telephone_number": "434-382-1123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANTIAGO GUZMAN",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704018800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forest, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.