Thais Guerra Walendowsky

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6451023645 Issued in MI

Practice address

35429 Shoenherr Rd
Sterling Heights, MI 48312-4258

Phone

(586) 303-2255

NPI assigned

Dec 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tais Guerra-Walendowsky Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Access Ipa

  • Family Medicine Physician
  • Dearborn, MI
  • NPI 1760682371
  NPD (past)
• Arab Community Center for Economic and Social Services Access

  • Community/Behavioral Health Agency
  • Dearborn, MI
  • NPI 1619285772
  NPD (past)

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1316658016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22289 SHANE DR",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480423820",
            "telephone_number": "616-990-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35429 SHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124258",
            "telephone_number": "586-303-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22289 Shane Dr",
            "address_purpose": "LOCATION",
            "city": "Macomb",
            "state": "MI",
            "postal_code": "480423820",
            "country_code": "US",
            "telephone_number": "313-489-0801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA WALENDOWSKY",
        "first_name": "THAIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6451023645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tguerra@innovativehealingcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "35429 Shoenherr Rd",
            "city": "Sterling Heights",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483124258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAIS",
            "last_name": "GUERRA-WALENDOWSKY",
            "credential": "LLPC, ATR-P",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Max Andrew Grytzelius, D.D.S.
• Honorata Grzesiak-Socha, PHARM.D.
• Bryan Grzywacz, DDS
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• Guardian Drugs LLC
• Stanley J Guest, P.T., O.C.S.
• Abby Adora Guevara, LBSW
• Tristan Guevara, D.O.
• Sheila Marie Guiao, OTR
• Samira Danielle Guillen

• Mental Health Counselor in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.