Individual provider Active NPI

Misty Guantonio, MFT, LCDAC-INTERN

  • Marriage & Family Therapist
  • Minden, NV
National Provider Identifier
1417410358
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4111 Issued in NV
Practice address
1650 Lucerne St Ste 205
Minden, NV 89423-4312
Phone
(775) 237-8020
Fax
(775) 298-6600
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 4111 NV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 07204-LC NV

Addresses

Primary practice location

1650 Lucerne St Ste 205
Minden, NV 89423-4312

Mailing address

1650 Lucerne St Ste 205
Minden, NV 89423-4312
Phone (775) 237-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240709004010 NV Practitioner - Marriage and Family Therapist 3971048422 Practice locations: Minden, NV

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07204-LCNVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Washoe Barton Medical Clinic a Nevada Nonprofit Corporation Current Accepting new patients
Carson Valley Medical Center Rural Health Clinic Past Accepting new patients

Locations

1107 US Highway 395 N
Gardnerville, NV 89410
Phone (775) 782-1595

Organizations & group practices 2

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": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1417410358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 LUCERNE ST STE 205",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234312",
            "telephone_number": "775-237-8020",
            "fax_number": "775-298-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 LUCERNE ST STE 205",
            "city": "MINDEN",
            "state": "NV",
            "postal_code": "894234312",
            "telephone_number": "775-237-8020",
            "fax_number": "775-298-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUANTONIO",
        "first_name": "MISTY",
        "credential": "MFT, LCDAC-INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "4111",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "07204-LC",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, NV

Sources for this page

Verify at the official NPI Registry.