Individual provider Active NPI

Tara Joy Guanci

  • Mental Health Counselor
  • Danvers, MA
National Provider Identifier
1316724982
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
125 Liberty St Ste 2
Danvers, MA 01923-3325
Phone
(978) 750-6828
Fax
(978) 651-9519
NPI assigned
Sep 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

125 Liberty St Ste 2
Danvers, MA 01923-3325

Mailing address

125 Liberty St Ste 2
Danvers, MA 01923-3325
Phone (978) 750-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridgewell, IncGroup PAC ID 6507833985, 39 clinicians

Practice addresses (Care Compare)

24 Morrill St
Amesbury, MA 01913-3012
Phone (978) 288-5700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewell, Inc CurrentSince Sep 10, 2023 Accepting new patients

Locations

125 Liberty St
Ste 2
Danvers, MA 01923
Phone (978) 750-6820

Organizations & group practices 1

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": "1694131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1316724982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233325",
            "telephone_number": "978-750-6828",
            "fax_number": "978-651-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 LIBERTY ST STE 2",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233325",
            "telephone_number": "978-750-6828",
            "fax_number": "978-651-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANCI",
        "first_name": "TARA",
        "middle_name": "JOY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danvers, MA

Sources for this page

Verify at the official NPI Registry.