Active NPI
Derrick Guty, MA, LPC
- Counselor
- East Lansing, MI
National Provider Identifier
1629487194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 6401013895
- Practice address
- 1422 W Saginaw St
East Lansing, MI 48823-2434 - Phone
- (517) 775-3871
- Fax
- (517) 657-2466
- NPI assigned
- Aug 8, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 6401013895 | MI | Primary |
Addresses
Primary practice location
1422 W Saginaw St
East Lansing, MI 48823-2434
Mailing address
1422 W Saginaw St
East Lansing, MI 48823-2434
Phone (517) 775-3871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231227001644 | MI | Practitioner - Mental Health Counselor | 2567812928 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013895 | MI | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SG Counseling & Consulting PLC | Professional | Current | Accepting new patients |
Locations
523 W Ionia St
Lansing, MI 48933
Phone (334) 703-4621
Organizations & group practices 1
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.
-
- Professional Counselor
- Lansing, MI
- NPI 1255092722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453766400000",
"number": "1629487194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 W SAGINAW ST",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232434",
"telephone_number": "517-775-3871",
"fax_number": "517-657-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 W SAGINAW ST",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488232434",
"telephone_number": "517-775-3871",
"fax_number": "517-657-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTY",
"first_name": "DERRICK",
"name_prefix": "Mr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-08",
"last_updated": "2016-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MI",
"license": "6401013895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.