Individual provider Active NPI

Joseph Alan Guajardo, LPC

  • Counselor
  • Hillsdale, MI
National Provider Identifier
1518506963
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401014330 Issued in MI
Practice address
30 N Howell St Ste 21a
Hillsdale, MI 49242-1621
Phone
(517) 425-1601
NPI assigned
Jan 2, 2020
Last updated
Sep 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401014330 MI Primary
Professional Counselor 101YP2500X 6401014330 MI

Addresses

Primary practice location

30 N Howell St Ste 21a
Hillsdale, MI 49242-1621

Mailing address

166 Holly Rd
Battle Creek, MI 49017-8851
Phone (517) 425-1439

Other practice location 1

49 N Howell St
Hillsdale, MI 49242-1639
Phone (517) 437-7329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240429000493 MI Practitioner - Mental Health Counselor 6709226475 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401014330MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Haven of Rest Ministries of Battle Creek Counselor CurrentSince Dec 10, 2025 Accepting new patients
Guajardo Counseling LLC Counselor CurrentSince Sep 12, 2021 Accepting new patients

Locations

11 Green St
Battle Creek, MI 49014
Phone (269) 419-1753

30 N Howell St
Ste 21A
Hillsdale, MI 49242
Phone (517) 425-1601

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, 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": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1518506963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 HOLLY RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490178851",
            "telephone_number": "517-425-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N HOWELL ST STE 21A",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421621",
            "telephone_number": "517-425-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 N Howell St",
            "address_purpose": "LOCATION",
            "city": "Hillsdale",
            "state": "MI",
            "postal_code": "492421639",
            "country_code": "US",
            "telephone_number": "517-437-7329",
            "fax_number": "517-437-2908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "JOSEPH",
        "middle_name": "ALAN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-02",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014330",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401014330",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsdale, MI

Sources for this page

Verify at the official NPI Registry.