Zachary Guram, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

79239 Issued in TX

Practice address

3503 Curtis St # a
Bryan, TX 77802-2209

Phone

(682) 209-3302

NPI assigned

Jul 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Connections Counseling & Psychological Services

  • Clinical Psychologist
  • Lufkin, TX
  • NPI 1245796564

  Professional

  NPD

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1639788664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 CURTIS ST # A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022209",
            "telephone_number": "682-209-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3503 CURTIS ST # A",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022209",
            "telephone_number": "682-209-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GURAM",
        "first_name": "ZACHARY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-27",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Burri Grossman, PH.D.
• Brianne Danielle Grove, M.S., CCC-SLP
• Jazmin Guerrero
• Rita Lizz Guillen
• Ashton Mary Gully, PA-C
• Manuel Adrian Gurrola
• Cina Lucille Guthrie, BAT, MED
• Ricardo Gutierrez Jr., MD
• Mia Wynn Guzman, M.D.
• Stefanie Guzman, CCC-SLP

• Professional Counselor in Bryan, TX
• Providers in Bryan, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; 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.

Verify at the official NPI Registry.