Damian Gutierrez, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 9784 Issued in FL

Practice address

6625 Miami Lakes Dr
Executive Suite 328
Miami Lakes, FL 33014-2708

Phone

(305) 779-8565

Fax

(305) 779-8564

NPI assigned

May 25, 2011

Sex

Male

Sole proprietor

Yes

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 FL

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Banyan Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Coral Gables, FL
  • NPI 1104247188
  Medicare reassignment
• Banyan Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Lauderdale Lakes, FL
  • NPI 1972979631
  NPD
• Comprehensive Assessment Center, Inc.

  • Clinical Psychologist
  • Miami Lakes, FL
  • NPI 1811008683
  NPD (past)

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1679866503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6334 NW 173RD LN",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154476",
            "telephone_number": "305-558-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 MIAMI LAKES DR",
            "address_2": "EXECUTIVE SUITE 328",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142708",
            "telephone_number": "305-779-8565",
            "fax_number": "305-779-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "DAMIAN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 9784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianelys Guillen
• Krishma Kaur Guliani, D.C.
• Dayron Gutierrez Alfonso
• Barbara D Gutierrez, EDD
• Carlo Ray Bitanga Gutierrez, PTA
• Giany Gutierrez, OAT
• Lester Gutierrez
• Marlen Gutierrez
• Iranma Guzman Ramirez, RN
• Claudia Adriana Guzman, P.T

• Mental Health Counselor in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.