Individual provider Active NPI

Enedina Guzman, LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1356212039
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-24209 Issued in AZ
Practice address
3001 N 33Rd Ave
Phoenix, AZ 85017-5202
Phone
(480) 229-7805
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-24209 AZ
Professional Counselor 101YP2500X LPC-24209 AZ Primary

Addresses

Primary practice location

3001 N 33Rd Ave
Phoenix, AZ 85017-5202

Mailing address

3001 N 33Rd Ave
Phoenix, AZ 85017-5202
Phone (480) 229-7805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251215001580 AZ Practitioner - Mental Health Counselor 1254825482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4747 N 7TH St
Suite 100
Phoenix, AZ 85014-3650

4747 N 7TH St
Suite 100
Phoenix, AZ 85014-3654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-24209AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family & Children's Service CurrentSince Oct 1, 2025 Accepting new patients
Jewish Family & Children's Service CurrentSince Oct 1, 2025 Accepting new patients

Locations

3001 N 33rd Ave
Phoenix, AZ 85017
Phone (602) 353-0703

2033 N 7th St
Phoenix, AZ 85006
Phone (602) 257-9314

4747 N 7th St
Ste 100
Phoenix, AZ 85014
Phone (602) 279-7655

Organizations & group practices 3

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": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757894400000",
    "number": "1356212039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175202",
            "telephone_number": "480-229-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 N 33RD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175202",
            "telephone_number": "480-229-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ENEDINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-24209",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-24209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.