Active NPI
Jennifer Renee Guzman, LCPC, NCC
- Professional Counselor
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC-7039
- Practice address
- 3350 W Americana Ter Ste 310B
Boise, ID 83706-2548 - Phone
- (208) 919-6310
- NPI assigned
- Feb 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC-7039 | ID | Primary |
| Professional Counselor | 101YP2500X | LPC-5486 | ID |
Addresses
Primary practice location
3350 W Americana Ter Ste 310B
Boise, ID 83706-2548
Mailing address
3350 W Americana Ter Ste 310B
Boise, ID 83706-2548
Phone (208) 919-6310
Other practice location 1
2417 W Bank Dr Ste 200B
Boise, ID 83705-2573
Phone (208) 404-6368
Other practice location 2
1408 W Hays St
Boise, ID 83702-5028
Phone (208) 919-6310
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-7039 | ID | MD | Professional Counselor |
| LPC-5486 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Counseling and Consulting | Current | Accepting new patients |
Locations
1408 W Hays St
Boise, ID 83702
Phone (208) 321-7735
3350 W Americana Ter
Ste 310B
Boise, ID 83706
Phone (208) 424-3105
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Boise, ID
- NPI 1487207049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1740604529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3350 W AMERICANA TER STE 310B",
"city": "BOISE",
"state": "ID",
"postal_code": "837062548",
"telephone_number": "208-919-6310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 W AMERICANA TER STE 310B",
"city": "BOISE",
"state": "ID",
"postal_code": "837062548",
"telephone_number": "208-919-6310"
}
],
"practiceLocations": [
{
"address_1": "2417 W Bank Dr Ste 200B",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837052573",
"country_code": "US",
"telephone_number": "208-404-6368",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1408 W Hays St",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837025028",
"country_code": "US",
"telephone_number": "208-919-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "JENNIFER",
"middle_name": "RENEE",
"credential": "LCPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-02-13",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-7039",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LPC-5486",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.