Individual provider Active NPI

Gwendolyn Arnetta Guidry, MBA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
National Provider Identifier
1366574303
Registry record updated May 7, 2018
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Dec 19, 2024.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
454730 Issued in TX
Practice address
5331 W Orem Dr
Houston, TX 77045-5036
Phone
(832) 310-7796
Fax
(832) 897-1688
NPI assigned
Mar 12, 2007
Last updated
May 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 454730 TX Primary

Addresses

Primary practice location

5331 W Orem Dr
Houston, TX 77045-5036

Mailing address

4915 Mulberry Cir
Missouri City, TX 77459-4078
Phone (832) 310-7796

Other practice location 1

5331 W Orem Dr
Houston, TX 77045-5036
Phone (832) 310-7796

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
454730TXMDMental Health Clinic/Center (Including Community Mental Health Center)

Practice roles

OrganizationSpecialtyStatusNew patients
Gibbs Care Home, Inc. Current Accepting new patients

Locations

5331 W Orem Dr
Houston, TX 77045
Phone (281) 755-3398

Organizations & group practices 1

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1366574303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 MULBERRY CIR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594078",
            "telephone_number": "832-310-7796",
            "fax_number": "832-987-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5331 W OREM DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770455036",
            "telephone_number": "832-310-7796",
            "fax_number": "832-897-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5331 W Orem Dr",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770455036",
            "country_code": "US",
            "telephone_number": "832-310-7796",
            "fax_number": "832-987-1688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUIDRY",
        "first_name": "GWENDOLYN",
        "middle_name": "ARNETTA",
        "credential": "MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "454730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.