Individual provider Active NPI

Annah Marie Guzman, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1669014262
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
79179 Issued in TX
Practice address
21758 Hardy Oak Blvd #104
San Antonio, TX 78258
Phone
(210) 846-2564
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79179 TX Primary

Addresses

Primary practice location

21758 Hardy Oak Blvd #104
San Antonio, TX 78258

Mailing address

19965 FM 3175
Lytle, TX 78052-3481
Phone (210) 357-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718000542 TX Practitioner - Mental Health Counselor 7618326851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Rural Health Services IncGroup PAC ID 0446248231, 2 clinicians

Practice addresses (Care Compare)

150 Medical Dr
Pearsall, TX 78061-6624
Phone (830) 334-4102

PO Box
Cotulla, TX 78014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Rural Health Services CurrentSince Jun 27, 2024 Accepting new patients
Camino Real Community MHMR Center CurrentSince Apr 4, 2025 Accepting new patients
South Texas Rural Health Services Inc CurrentSince Jun 27, 2024 Accepting new patients
Camino Real Community MHMR Center Past Accepting new patients

Locations

105 S Stewart
Cotulla, TX 78014
Phone (830) 879-2502

315 N 1st Ave
Crystal City, TX 78839
Phone (830) 374-5854

2644 Encino Park
Eagle Pass, TX 78852
Phone (830) 498-2030

757 E Rio Grande St
Eagle Pass, TX 78852
Phone (830) 773-5696

1327 3rd St
Floresville, TX 78114
Phone (830) 216-2004

1005 B St
Floresville, TX 78114
Phone (830) 216-4326

1749 E State Highway 97
Jourdanton, TX 78026
Phone (830) 767-2320

322 W Main St
Ste 104
Kenedy, TX 78119
Phone (830) 583-9777

19965 FM 3175
Lytle, TX 78052
Phone (210) 357-0300

411 E Brazos St
Pearsall, TX 78061
Phone (830) 334-0075

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1669014262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19965 FM 3175",
            "city": "LYTLE",
            "state": "TX",
            "postal_code": "780523481",
            "telephone_number": "210-357-0300",
            "fax_number": "830-772-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21758 HARDY OAK BLVD #104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-846-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ANNAH",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.