Nicole Marie Guza, LLPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6451021922 Issued in MI

Practice address

5198 Windsor Hwy
Potterville, MI 48876-8762

Phone

(989) 751-3680

NPI assigned

Nov 15, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD
• Nicole Guza Counseling PLLC

  • Mental Health Counselor
  • Southfield, MI
  • NPI 1548110638
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1548926462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5198 WINDSOR HWY",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488768762",
            "telephone_number": "989-751-3680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5198 WINDSOR HWY",
            "city": "POTTERVILLE",
            "state": "MI",
            "postal_code": "488768762",
            "telephone_number": "989-751-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZA",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "credential": "LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451021922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "Y",
            "affiliationName": "Great Lakes Psychology Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2127 University Park Dr Ste 300",
            "city": "Okemos",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488645928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melissa Sue Dahlgren, LMSW
• Gary Anthony Darmofal
• Alexis Dillon
• Shawn Desiree Floyd I, LPN
• Monica Fuentes
• Healing Hands 4U2 Home Care LLC
• Healing Hands 4U2 Home Care LLC
• Jessica Rosenbrook Counseling Services LLC
• Richard Laurence Lezell, D.D.S.
• Kristin Mau

• Counselor in Potterville, MI
• Providers in Potterville, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.