Active NPI
Charlottte Denise Guarino, LPC, LMFT
- Professional Counselor
- Mandeville, LA
National Provider Identifier
1598807133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2335
- Practice address
- 4042 Desoto St
Mandeville, LA 70471-1804 - Phone
- (985) 778-9057
- Fax
- (985) 624-5542
- NPI assigned
- Feb 12, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2335 | LA | Primary |
| Professional Counselor | 101YP2500X | 388 | LA |
Addresses
Primary practice location
4042 Desoto St
Mandeville, LA 70471-1804
Mailing address
159 Louise Dr
Mandeville, LA 70448-3437
Phone (985) 778-9057
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388 | LA | MD | Clinical Psychologist |
| 2335 | LA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598807133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 LOUISE DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483437",
"telephone_number": "985-778-9057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4042 DESOTO ST",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704711804",
"telephone_number": "985-778-9057",
"fax_number": "985-624-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUARINO",
"first_name": "CHARLOTTTE",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "2335",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "388",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.