Jessica Guevara
Individual provider Active NPI Mental Health Counselor · Nantucket, MA
NPI 1437608296 · NPPES record last updated Sep 22, 2016
Key facts
- NPI
- 1437608296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 20 Vesper LN
L-1
Nantucket, MA 02554-4394 - Phone
- (508) 228-2689
- Fax
- (508) 228-3613
- NPI assigned
- Sep 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairwinds-Nantuckets Counseling Center | Past |
Accepting new patients | |
| Fairwinds-Nantucket'S Counseling Center, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
20 Vesper LN
L-1
Nantucket, MA 02554-4394
Mailing address
1 Rosemary Way
Nantucket, MA 02554-3119
Phone (508) 228-2689
Other providers in Nantucket, MA
- Michael Roger Garrett
- Allison Gayo
- Suzanne Gerardi
- Michael Getter
- Mary Graves
- Tucker Anthony Haddon
- Michaela Lynn Haller
- Penny Hanson
- Molly Harding
- Nora Harrington
All providers in Nantucket, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.