Katy Gustafson, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC12771 Issued in MD

Practice address

4424 Montgomery Ave Ste 201
Bethesda, MD 20814-4436

Phone

(240) 560-2261

NPI assigned

Jan 3, 2020

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

Other names 1

• Katy Janousek Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 8, 2024 through May 8, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1669011920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5518 CHESHIRE MEADOWS WAY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220323226",
            "telephone_number": "402-750-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 MONTGOMERY AVE STE 201",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144436",
            "telephone_number": "240-560-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAFSON",
        "first_name": "KATY",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP9970",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC12771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "JANOUSEK",
            "credential": "LGPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Baohien Ngocchu Gupta, RDH,BS
• Naveen Kumar Gupta, M.D.
• Sarthak Gupta, MD
• Pamela M Gurnick, MD, MPH, FACP
• Sandeep Gurram, MD
• Lily Gutmann, PH.D.
• Alan Edward Guttmacher, M.D.
• Marissa Gutzeit
• Mary Isabel Guzman-Muro
• Jon Guzman, PMHNP - STUDENT

• Mental Health Counselor in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.