Individual provider Active NPI

Gustavo Antonio Guzman Sanjurjo, LMHC

  • Mental Health Counselor
  • Saint Cloud, FL
National Provider Identifier
1366056327
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18306 Issued in FL
Practice address
303 Commerce Center Dr
Saint Cloud, FL 34769-1549
Phone
(407) 450-5985
Fax
(407) 604-6883
NPI assigned
Sep 6, 2020
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 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 MH18306 FL Primary
School Counselor 101YS0200X MH18306 FL

Addresses

Primary practice location

303 Commerce Center Dr
Saint Cloud, FL 34769-1549

Mailing address

16A Prosperity LN
Palm Coast, FL 32164-7409
Phone (407) 450-5985

Other practice location 1

16A Prosperity Ln
Palm Coast, FL 32164-7409
Phone (386) 264-3483

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250430001998 FL Practitioner - Mental Health Counselor 2264958420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunshine Psychiatric Care LLCGroup PAC ID 0345778536, 3 clinicians

Practice addresses (Care Compare)

160 Cypress Point Pkwy
Suite B302
Palm Coast, FL 32164-8443
Phone (386) 230-4448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH18306FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Helping Hand Counseling Center, Inc CurrentSince Feb 14, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 11, 2025 Accepting new patients
Sunshine Psychiatric Care LLC CurrentSince Feb 1, 2026 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

160 Cypress Point Pkwy
Ste B302
Palm Coast, FL 32164
Phone (386) 230-4448

9 Pine Cone Dr
Ste 109
Palm Coast, FL 32137
Phone (386) 246-7898

303 Commerce Center Dr
Saint Cloud, FL 34769
Phone (407) 450-5985

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, 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": "1599350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1366056327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16A PROSPERITY LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321647409",
            "telephone_number": "407-450-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 COMMERCE CENTER DR",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347691549",
            "telephone_number": "407-450-5985",
            "fax_number": "407-604-6883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16A Prosperity Ln",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321647409",
            "country_code": "US",
            "telephone_number": "386-264-3483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN SANJURJO",
        "first_name": "GUSTAVO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-06",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18306",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "FL",
            "license": "MH18306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, FL

Sources for this page

Verify at the official NPI Registry.