Organization Active NPI

Crystal M Guyse, LLC

Doing business as Enliven Psych and Health

  • Counseling Psychologist
  • Rochester, MN
National Provider Identifier
1346919776
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
CRYSTAL M GUYSE, LLC
Doing business as
Enliven Psych and Health
Practice address
3936 E. Frontage Rd Hwy 52. N.
Rochester, MN 55960
Phone
(507) 358-6663
NPI assigned
Sep 9, 2021
Last updated
Sep 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
Ms. Crystal Marie Guyse, MA, LP, LICSWNPI 1265676258
Title
Psychologist
Phone
(507) 358-6663

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

3936 E. Frontage Rd Hwy 52. N.
Rochester, MN 55960

Mailing address

781 River Park LN SE
Oronoco, MN 55960-2088
Phone (507) 358-6663

Other names 1

  • Enliven Psych and Health Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1346919776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 RIVER PARK LN SE",
            "city": "ORONOCO",
            "state": "MN",
            "postal_code": "559602088",
            "telephone_number": "507-358-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 E. FRONTAGE RD HWY 52. N.",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55960",
            "telephone_number": "507-358-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL M GUYSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "GUYSE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "507-358-6663",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LP, LICSW"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enliven Psych and Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.