Individual provider Active NPI

Jessica McGuire

  • Marriage & Family Therapist
  • La Porte, IN
National Provider Identifier
1659911436
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35002431A Issued in IN
Practice address
1305 Pine Lake Rd Ste 2B
La Porte, IN 46350-2039
Phone
(219) 809-2345
NPI assigned
Jan 9, 2020
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 35002431A IN Primary

Addresses

Primary practice location

1305 Pine Lake Rd Ste 2B
La Porte, IN 46350-2039

Mailing address

512 Andrew Ave Unit 102
La Porte, IN 46350-4633
Phone (219) 809-2345

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

State licenses

LicenseStateTypeSpecialty
35002431AINMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
McGuire Inspired Marriage & Family Therapist CurrentSince Oct 27, 2024 Accepting new patients
Lpa Co. Marriage & Family Therapist PastSince Jan 1, 2020 Accepting new patients

Locations

1305 Pine Lake Rd
Ste 2B
La Porte, IN 46350
Phone (219) 809-2345

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, 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": "1578528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1659911436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 ANDREW AVE UNIT 102",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504633",
            "telephone_number": "219-809-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PINE LAKE RD STE 2B",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463502039",
            "telephone_number": "219-809-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-09",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35002431A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.