Individual provider Active NPI

Yarini Alexandra Garcia Guilamo

  • Counselor
  • Jersey City, NJ
National Provider Identifier
1609444090
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00592200 Issued in NJ
Practice address
240 Hancock Ave Apt 2
Jersey City, NJ 07307-1924
Phone
(347) 882-8903
NPI assigned
Jun 14, 2021
Last updated
Jul 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00592200 NJ Primary

Addresses

Primary practice location

240 Hancock Ave Apt 2
Jersey City, NJ 07307-1924

Mailing address

240 Hancock Ave Apt 2
Jersey City, NJ 07307-1924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240830003213 NJ Practitioner - Mental Health Counselor 1759820988 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Theracorp, LLCGroup PAC ID 8426319104, 20 clinicians

Practice addresses (Care Compare)

117 Washington St
Unit 3
Hoboken, NJ 07030-4670
Phone (732) 561-8555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00592200NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Theracorp, LLC Counselor CurrentSince Jul 18, 2025 Accepting new patients
Park Avenue Pediatrics, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Theracorp, LLC CurrentSince Jul 18, 2025 Accepting new patients
Healthwise Medical Group LLC CurrentSince Dec 11, 2024 Accepting new patients

Locations

600 Lincoln Park E
Cranford, NJ 07016
Phone (908) 276-7100

271 US Highway 46
Ste C209
Fairfield, NJ 07004
Phone (732) 561-8555

203 Candlewood Cmns
Howell, NJ 07731
Phone (732) 561-8555

79 E Railroad Ave
Jamesburg, NJ 08831
Phone (732) 561-8555

2060 Millburn Ave
Maplewood, NJ 07040
Phone (973) 642-3155

2060 Millburn Ave
Ste 530
Maplewood, NJ 07040

1696 Route 88
Wall Township, NJ 08724
Phone (732) 561-8555

Organizations & group practices 4

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627257600000",
    "number": "1609444090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HANCOCK AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HANCOCK AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073071924",
            "telephone_number": "347-882-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA GUILAMO",
        "first_name": "YARINI",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00592200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.