Individual provider Active NPI

Jennifer Renee Guzman, LCPC, NCC

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1740604529
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LCPC-7039 Issued in ID
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

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
LCPC-7039IDMDProfessional Counselor
LPC-5486IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Counseling and Consulting CurrentSince Jun 12, 2022 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.

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.

Verify at the official NPI Registry.