Individual provider Active NPI

Beth Ann Guzi, M.S. CCC-SLP, LPC

  • Professional Counselor
  • Salmon, ID
National Provider Identifier
1700944766
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4520 Issued in ID
Practice address
1301 Main St Ste 3B
Salmon, ID 83467-4452
Phone
(208) 756-2927
Fax
(208) 756-1518
NPI assigned
Dec 4, 2006
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLP-1247 ID
Professional Counselor 101YP2500X 4520 ID Primary

Addresses

Primary practice location

1301 Main St Ste 3B
Salmon, ID 83467-4452

Mailing address

201 S Agate Dr
Salmon, ID 83467-5217
Phone (208) 373-1721

Other names 1

  • Mrs. Beth Ann Guryan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4520IDMDProfessional Counselor
SLP-1247IDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lemhi Valley Social Services, Inc. Professional CurrentSince Apr 5, 2024 Accepting new patients
Lemhi Valley Social Services, Inc. PastSince Aug 2, 2020 Accepting new patients

Locations

1380 Benton St
Idaho Falls, ID 83401
Phone (208) 403-3472

1301 Main St
Ste 3B
Salmon, ID 83467
Phone (208) 756-2927

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1700944766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S AGATE DR",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834675217",
            "telephone_number": "208-373-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MAIN ST STE 3B",
            "city": "SALMON",
            "state": "ID",
            "postal_code": "834674452",
            "telephone_number": "208-756-2927",
            "fax_number": "208-756-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZI",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "SLP-1247",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "4520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "GURYAN",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Salmon, ID

Sources for this page

Verify at the official NPI Registry.