Kirsis Hernandez-Guzman, LCSWA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCAS-23178 Issued in NC

Practice address

1037 Bullard CT
Suite 208
Raleigh, NC 27615-6871

Phone

(919) 877-6101

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• A New Life Services Inc

  • Community/Behavioral Health Agency
  • Raleigh, NC
  • NPI 1679882393
  NPD (past)
• Santana Therapy & Counseling, PLLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
  • NPI 1922648633

  Clinical

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1629141858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 ROCKGLEN WAY",
            "address_2": "206",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157561",
            "telephone_number": "616-706-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 BULLARD CT",
            "address_2": "SUITE 208",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276156871",
            "telephone_number": "919-877-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-GUZMAN",
        "first_name": "KIRSIS",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009143",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Louise Herman, LCSWA
• James Patrick Hermann, DMD
• Robert Mark Hermann, DDS
• Mirian Hernandez Cruz
• Yadira Hernandez Quintana
• Johana Guadalupe Hernandez-Rivera
• Alexis Jesus Hernandez, MD
• Andres Eduardo Hernandez, PSY.D.
• Argenis Eduardo Hernandez, PA-C
• Cynthia R Hernandez, PSY.D.

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.