Kylie Tamiko Deguzman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701016744 Issued in VA

Practice address

4410 Claiborne SQ E # 234
Hampton, VA 23666-2071

Phone

(757) 977-0889

Fax

(757) 977-0895

NPI assigned

Aug 1, 2018

Last updated

Sep 16, 2026By 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 3

Addresses

Other names 1

• Miss Kylie Tamiko Gumban Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

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.

• Christian Community Placement Center

  dba Connections365

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1174698971
  NPD (past)
• Christian Community Placement Center

  • Foster Care Agency
  • Salem, OR
  • NPI 1700194875
  NPD (past)

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1679051692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E # 234",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662071",
            "telephone_number": "757-977-0889",
            "fax_number": "757-977-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 CLAIBORNE SQ E # 234",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236662071",
            "telephone_number": "757-977-0889",
            "fax_number": "757-977-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGUZMAN",
        "first_name": "KYLIE",
        "middle_name": "TAMIKO",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701016744",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "GUMBAN",
            "middle_name": "TAMIKO",
            "prefix": "MISS",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marivic Ofilas De Leon, RPT
• Michael L. Deangelo, PHARMD
• Shelby Debause, LMFT
• Leah Decker
• Defenders of Resilience Military Ministry
• Jordan Alexander Dehli, DO
• Lauren Giselle Deleon, MD
• Delsol Association, Inc.
• Delta Care Living
• Renae Delucia, PHD

• Professional Counselor in Hampton, VA
• Providers in Hampton, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.