Individual provider Active NPI

Marilyn Yvonne Guhl, MED LPC LADC CCCJS

  • Mental Health Counselor
  • Afton, OK
National Provider Identifier
1619993516
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3448 Issued in OK
Practice address
138 S. Main
Afton, OK 74331
Phone
(918) 257-4244
Fax
(918) 456-8773
NPI assigned
Jul 14, 2006
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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 3448 OK Primary

Addresses

Primary practice location

138 S. Main
Afton, OK 74331

Mailing address

138 S. Main
Afton, OK 74331
Phone (918) 257-4244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240904000742 OK Practitioner - Mental Health Counselor 5092255182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

138 S Main
Afton, OK 74331-1822
Phone (918) 257-4244

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3448OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grand Lake Mental Health Center, Inc. CurrentSince Aug 20, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. CurrentSince Aug 20, 2024 Accepting new patients
Grand Lake Mental Health Center, Inc. Current Accepting new patients

Locations

138 S Main St
Afton, OK 74331
Phone (918) 257-4244

111 S Treaty Rd
Miami, OK 74354
Phone (918) 540-1511

114 W Delaware Ave
Nowata, OK 74048
Phone 91827318412207

Organizations & group practices 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1619993516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 S. MAIN",
            "city": "AFTON",
            "state": "OK",
            "postal_code": "74331",
            "telephone_number": "918-257-4244",
            "fax_number": "918-456-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S. MAIN",
            "city": "AFTON",
            "state": "OK",
            "postal_code": "74331",
            "telephone_number": "918-257-4244",
            "fax_number": "918-456-8773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHL",
        "first_name": "MARILYN",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "MED LPC LADC CCCJS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Afton, OK

Sources for this page

Verify at the official NPI Registry.