Active NPI
Guiding Light Holistic Center Inc
- Psychiatric/Mental Health Nurse Practitioner
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- GUIDING LIGHT HOLISTIC CENTER INC
- Practice address
- 3100 E 45TH St Ste 234
Cleveland, OH 44127-1091 - Phone
- (614) 636-5842
- Fax
- (614) 526-5949
- NPI assigned
- Apr 21, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin Aguado, NP
- Title
- Owner
- Phone
- (614) 636-5842
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
3100 E 45TH St Ste 234
Cleveland, OH 44127-1091
Mailing address
3100 E 45TH St Ste 234
Cleveland, OH 44127-1091
Phone (614) 636-5842
Other practice location 1
20 S 3rd St Ste 210
Columbus, OH 43215-4206
Phone (614) 636-5842
Other practice location 2
2333 Alexandria Dr
Lexington, KY 40504-3215
Phone (614) 636-5842
Other practice location 3
4449 Easton Way Fl 2
Columbus, OH 43219-7005
Phone (614) 636-5842
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3100 E 45th St
Ste 234233
Cleveland, OH 44127
4449 Easton Way
Ste 2026
Columbus, OH 43219
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Marion, OH
- NPI 1659777308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587427200000",
"number": "1346860202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 E 45TH ST STE 234",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441271091",
"telephone_number": "614-636-5842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 E 45TH ST STE 234",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441271091",
"telephone_number": "614-636-5842",
"fax_number": "614-526-5949"
}
],
"practiceLocations": [
{
"address_1": "20 S 3rd St Ste 210",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432154206",
"country_code": "US",
"telephone_number": "614-636-5842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2333 Alexandria Dr",
"address_purpose": "LOCATION",
"city": "Lexington",
"state": "KY",
"postal_code": "405043215",
"country_code": "US",
"telephone_number": "614-636-5842",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4449 Easton Way Fl 2",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432197005",
"country_code": "US",
"telephone_number": "614-636-5842",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GUIDING LIGHT HOLISTIC CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A",
"authorized_official_last_name": "AGUADO",
"authorized_official_first_name": "KRISTIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-636-5842",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.