Amy Lisa Guyette, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003999 Issued in CT

Practice address

1089 Woodtick Rd
Wolcott, CT 06716-2123

Phone

(203) 879-9485

NPI assigned

Dec 2, 2019

Last updated

Dec 2, 2019By the provider in NPPES

Sex

Female

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 CT

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Counseling Center of Central CT Inc

  • Professional Counselor
  • Bristol, CT
  • NPI 1760541510
  Medicare reassignment NPD

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

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1669019337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CHARLES ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060511707",
            "telephone_number": "860-748-2590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 WOODTICK RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162123",
            "telephone_number": "203-879-9485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUYETTE",
        "first_name": "AMY",
        "middle_name": "LISA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Gonzalez, LPC-A
• Marrhonda Goodwin
• Rachel Gorneault, PTA
• Grey Street Counseling Center LLC
• Theresa Maureen Grey, COTA/L
• Gayle Gwozdz, A.P.R.N.
• Amber S Hayes, PT
• Jaylin Holland, ND
• Pamela Hubert, PT
• Karlene A Hylton, APRN

• Professional Counselor in Wolcott, CT
• Providers in Wolcott, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.