Active NPI
Katherine Guelzow, LMFTA
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1740734938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 10040A
- Practice address
- 3646 Central Ave
Charlotte, NC 28205-6064 - Phone
- (704) 733-9934
- Fax
- (704) 733-9925
- NPI assigned
- Aug 5, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 10040A | NC | Primary |
Addresses
Primary practice location
3646 Central Ave
Charlotte, NC 28205-6064
Mailing address
3646 Central Ave
Charlotte, NC 28205-6064
Phone (704) 733-9934
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 |
|---|---|---|---|
| 10040A | NC | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Project 658 | Marriage & Family Therapist | Past | Accepting new patients |
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": "1470355200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1740734938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3646 CENTRAL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056064",
"telephone_number": "704-733-9934",
"fax_number": "704-733-9925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3646 CENTRAL AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282056064",
"telephone_number": "704-733-9934",
"fax_number": "704-733-9925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUELZOW",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "LMFTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-05",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "10040A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.