Active NPI
Ann Guzman, M.ED
- Professional Counselor
- Watkinsville, GA
National Provider Identifier
1649792755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC004957
- Practice address
- 1011 Woodridge LN BLDG 201
Watkinsville, GA 30677-6077 - Phone
- (404) 992-1388
- NPI assigned
- Jul 10, 2017
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC004957 | GA | Primary |
Addresses
Primary practice location
1011 Woodridge LN BLDG 201
Watkinsville, GA 30677-6077
Mailing address
404 Nottingham Dr
Marietta, GA 30066-2542
Phone (404) 992-1388
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC004957 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery DBT | Current | Accepting new patients | |
| Recovery DBT | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Marietta, GA
- NPI 1427798891
-
- Adult Mental Health Clinic/Center
- Alpharetta, GA
- NPI 1639002280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499644800000",
"number": "1649792755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 NOTTINGHAM DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300662542",
"telephone_number": "404-992-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 WOODRIDGE LN BLDG 201",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306776077",
"telephone_number": "404-992-1388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "ANN",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-10",
"last_updated": "2017-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC004957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.