Individual provider Active NPI

Maricarmen Guzman

  • Clinical Social Worker
  • Colorado Springs, CO
National Provider Identifier
1740039932
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
5040 Corporate Plaza Dr Ste 7G
Colorado Springs, CO 80919-6100
Phone
(719) 249-7896
NPI assigned
May 18, 2024
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5040 Corporate Plaza Dr Ste 7G
Colorado Springs, CO 80919-6100

Mailing address

5040 Corporate Plaza Dr Ste 7G
Colorado Springs, CO 80919-6100
Phone (719) 249-7896

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Reneural LLC Clinical CurrentSince May 19, 2024 Accepting new patients
Mind Reneural, LLC Clinical PastSince May 19, 2024 Accepting new patients

Locations

5040 Corporate Plaza Dr
Ste 7G
Colorado Springs, CO 80919
Phone (719) 249-7896

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": "1715990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1740039932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 CORPORATE PLAZA DR STE 7G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196100",
            "telephone_number": "719-249-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CORPORATE PLAZA DR STE 7G",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809196100",
            "telephone_number": "719-249-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "MARICARMEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-18",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.