Active NPI
Philip T Guistwite, MDIV MS
- Marriage & Family Therapist
- Erwin, NC
National Provider Identifier
1467451427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1389
- Practice address
- 400 Denim Dr
Erwin, NC 28339-2204 - Phone
- (910) 897-8930
- Fax
- (910) 897-8932
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1389 | NC | Primary |
Addresses
Primary practice location
400 Denim Dr
Erwin, NC 28339-2204
Mailing address
PO Box 489
Erwin, NC 28339-0489
Phone (910) 897-8930
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1389 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1332892800000",
"number": "1467451427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"city": "ERWIN",
"state": "NC",
"postal_code": "283390489",
"telephone_number": "910-897-8930",
"fax_number": "910-897-8932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 DENIM DR",
"city": "ERWIN",
"state": "NC",
"postal_code": "283392204",
"telephone_number": "910-897-8930",
"fax_number": "910-897-8932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUISTWITE",
"first_name": "PHILIP",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "MDIV MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2012-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Erwin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.