Active NPI
Justine Nicole Guzman, MA, LPC
- Mental Health Counselor
- Dallas, TX
National Provider Identifier
1578044582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 75160
- Practice address
- 5445 La Sierra Dr Ste 200
Dallas, TX 75231-4137 - Phone
- (214) 706-0619
- NPI assigned
- Aug 27, 2018
- Last updated
- Aug 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 75160 | TX | Primary |
Addresses
Primary practice location
5445 La Sierra Dr Ste 200
Dallas, TX 75231-4137
Mailing address
5580 Harvest Hill Rd Apt 1058
Dallas, TX 75230-1628
Phone (972) 898-5723
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75160 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor & Adams LLC | Mental Health | Past | 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": "1535328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535328000000",
"number": "1578044582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 HARVEST HILL RD APT 1058",
"city": "DALLAS",
"state": "TX",
"postal_code": "752301628",
"telephone_number": "972-898-5723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5445 LA SIERRA DR STE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "752314137",
"telephone_number": "214-706-0619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "JUSTINE",
"middle_name": "NICOLE",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-27",
"last_updated": "2018-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "75160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.