Active NPI
Mariana Gutierrez, LPC
- Professional Counselor
- Temple, TX
National Provider Identifier
1326431123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67513
- Practice address
- 5250 S 31St St
Temple, TX 76502-3513 - Phone
- (254) 218-5858
- NPI assigned
- Mar 18, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 67513 | TX | Primary |
Addresses
Primary practice location
5250 S 31St St
Temple, TX 76502-3513
Mailing address
PO Box 432
Eddy, TX 76524-0432
Phone (254) 727-6077
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3451221-01 | Medicaid | TX | |
| 67513 | Other | TX | STATE BOARD LICENSE |
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 |
|---|---|---|---|
| 67513 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690761600000",
"number": "1326431123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 432",
"city": "EDDY",
"state": "TX",
"postal_code": "765240432",
"telephone_number": "254-727-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 S 31ST ST",
"city": "TEMPLE",
"state": "TX",
"postal_code": "765023513",
"telephone_number": "254-218-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MARIANA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2023-07-31",
"certification_date": "2023-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3451221-01",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD LICENSE",
"identifier": "67513",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Temple, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.