Individual provider Active NPI

Mark Norbert Preciado Guiab, FPA, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Crete, IL
National Provider Identifier
1346770914
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001928 Issued in IL
Practice address
1328 Main St Unit B
Crete, IL 60417-2131
Phone
(708) 277-6924
Fax
(708) 277-6924
NPI assigned
Jun 15, 2017
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001928 IL Primary
Nurse Practitioner 363L00000X 209016243 IL

Addresses

Primary practice location

1328 Main St Unit B
Crete, IL 60417-2131

Mailing address

1328 Main St Unit B
Crete, IL 60417-2131
Phone (708) 277-6924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130000210 IL Practitioner - Nurse Practitioner 7113284142 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Serene Psychiatry PLLCGroup PAC ID 9830610153, 2 clinicians

Practice addresses (Care Compare)

1328 Main St
Crete, IL 60417-2131
Phone (708) 277-6924

3490 Harold Cir
Hoffman Estates, IL 60192-2000
Phone (847) 450-0222

Merit-based Incentive Payment System (MIPS)

Final score
58.33 of 100Reported as group
Quality
41.25
Promoting interoperability
0
Improvement activities
40
Cost
69.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277001928ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians House Calls Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
Serene Psychiatry PLLC CurrentSince Feb 3, 2025 Accepting new patients
Livindi Medical Group Illinois PLLC CurrentSince Apr 15, 2024 Accepting new patients
Archos Wound Specialists Inc CurrentSince May 6, 2023 Accepting new patients
Community Visiting Physicians LLC CurrentSince Jul 1, 2024 Accepting new patients
Livindi Medical Group Illinois PLLC CurrentSince Apr 15, 2024 Accepting new patients
Archos Multispecialty Services, Inc Psychiatric/Mental Health CurrentSince Jun 19, 2025 Accepting new patients
Housecall Health Group Inc CurrentSince Jan 1, 2025 Accepting new patients

Locations

1328 Main St
Crete, IL 60417
Phone (508) 416-6030

1328 Main St
Unit B
Crete, IL 60417
Phone (708) 277-6924

2300 N Barrington Rd
Ste 400
Hoffman Estates, IL 60169
Phone (815) 947-4463

3 Golf Ctr
Hoffman Estates, IL 60169

1580 N Northwest Hwy
Ste 121A
Park Ridge, IL 60068
Phone (630) 225-1428

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1346770914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 MAIN ST UNIT B",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172131",
            "telephone_number": "708-277-6924",
            "fax_number": "708-277-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 MAIN ST UNIT B",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604172131",
            "telephone_number": "708-277-6924",
            "fax_number": "708-277-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIAB",
        "first_name": "MARK NORBERT",
        "middle_name": "PRECIADO",
        "credential": "FPA, PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001928",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crete, IL

Sources for this page

Verify at the official NPI Registry.