Individual provider Active NPI

Daniel Guzman, M.ED

  • Mental Health Counselor
  • Kissimmee, FL
National Provider Identifier
1447727789
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
111 E Monument Ave Unit 412
Kissimmee, FL 34741-5774
Phone
(407) 930-4711
NPI assigned
Oct 24, 2018
Reactivated
Nov 28, 2018
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

111 E Monument Ave Unit 412
Kissimmee, FL 34741-5774

Mailing address

7306 Gateshead Cir Apt 7
Orlando, FL 32822-4690
Phone (407) 715-5753

Other practice location 1

2521 13th St Ste D
Saint Cloud, FL 34769-4103
Phone (407) 734-1273

Other practice location 2

5425 S Semoran Blvd Ste 3
Orlando, FL 32822-1777
Phone (407) 734-1273

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
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Psychiatric Services, LLC PastSince Sep 1, 2017 Accepting new patients

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": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1447727789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7306 GATESHEAD CIR APT 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328224690",
            "telephone_number": "407-715-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E MONUMENT AVE UNIT 412",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415774",
            "telephone_number": "407-930-4711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2521 13th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Saint Cloud",
            "state": "FL",
            "postal_code": "347694103",
            "country_code": "US",
            "telephone_number": "407-734-1273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5425 S Semoran Blvd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328221777",
            "country_code": "US",
            "telephone_number": "407-734-1273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "DANIEL",
        "credential": "M.ED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-24",
        "last_updated": "2018-12-10",
        "deactivation_date": "2018-10-30",
        "reactivation_date": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.