Amy Lisa Guyette, LPC
Individual provider Active NPI Professional Counselor · Wolcott, CT
NPI 1669019337 · NPPES record last updated Dec 2, 2019
Key facts
- NPI
- 1669019337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 003999 (CT)
- Practice address
- 1089 Woodtick Rd
Wolcott, CT 06716-2123 - Phone
- (203) 879-9485
- NPI assigned
- Dec 2, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240614000588 | CT | Practitioner - Mental Health Counselor | 4385187764 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003999 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Counseling Center of Central CT Inc | Professional | Current |
Accepting new patients |
Locations
1089B Woodtick Rd
Wolcott, CT 06716
Phone (203) 879-9485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003999 | CT | Yes |
Addresses
Primary practice location
1089 Woodtick Rd
Wolcott, CT 06716-2123
Mailing address
97 Charles St
New Britain, CT 06051-1707
Phone (860) 748-2590
Other providers in Wolcott, CT
- Jeffrey Gonzalez
- Marrhonda Goodwin
- Rachel Gorneault
- Grey Street Counseling Center LLC
- Theresa Maureen Grey
- Gayle Gwozdz
- Amber S Hayes
- Jaylin Holland
- Charles Housemann
- Pamela Hubert
All providers in Wolcott, CT · Professional Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.