Active NPI
Myriam Guilloteau
- Mental Health Counselor
- Springfield, MA
National Provider Identifier
1619669280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1695 Main St
Springfield, MA 01103-1348 - Phone
- (413) 241-3819
- NPI assigned
- May 23, 2023
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1695 Main St
Springfield, MA 01103-1348
Mailing address
46 Fenway Cir
Brockton, MA 02301-3207
Phone (508) 818-0093
Other practice location 1
74 Plain St
Brockton, MA 02301-7162
Phone (774) 444-4916
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684800000000",
"number": "1619669280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 FENWAY CIR",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023013207",
"telephone_number": "508-818-0093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1695 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011031348",
"telephone_number": "413-241-3819"
}
],
"practiceLocations": [
{
"address_1": "74 Plain St",
"address_purpose": "LOCATION",
"city": "Brockton",
"state": "MA",
"postal_code": "023017162",
"country_code": "US",
"telephone_number": "774-444-4916",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUILLOTEAU",
"first_name": "MYRIAM",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-23",
"last_updated": "2023-05-23",
"certification_date": "2023-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.