Individual provider Active NPI

Jessica Michelle Cabrera-Guzhnay, LMHC

  • Mental Health Counselor
  • Port Chester, NY
National Provider Identifier
1568091676
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
010254-01 Issued in NY
Practice address
One Gateway Plaza St.3B
Port Chester, NY 10573
Phone
(914) 240-2241
Fax
(914) 937-3183
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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 010254-01 NY Primary

Addresses

Primary practice location

One Gateway Plaza St.3B
Port Chester, NY 10573

Mailing address

121 S Highland Ave Apt 1L
Ossining, NY 10562-5848
Phone (914) 727-0476

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260425000080 NY Practitioner - Mental Health Counselor 4981171121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

165 Main St
Ossining, NY 10562-4798

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010254-01NYMDMental Health Counselor

Interoperability endpoints

  • Direct secure messaging: cpa.jessicaguzhnay@142175.advancedmd-direct.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1568091676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S HIGHLAND AVE APT 1L",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105625848",
            "telephone_number": "914-727-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE GATEWAY PLAZA ST.3B",
            "city": "PORT CHESTER",
            "state": "NY",
            "postal_code": "10573",
            "telephone_number": "914-240-2241",
            "fax_number": "914-937-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA-GUZHNAY",
        "first_name": "JESSICA",
        "middle_name": "MICHELLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010254-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.