Guidance Foundation Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

R14768 Issued in NM

Legal business name

GUIDANCE FOUNDATION INC

Practice address

4101 Barbara Loop SE
Suite D
Rio Rancho, NM 87124-1009

Phone

(505) 892-3639

Fax

(505) 892-6348

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Janice Marion Penn, PHD

Title

Owner

Phone

(505) 892-3639

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1760421168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 BARBARA LOOP SE",
            "address_2": "SUITE D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241009",
            "telephone_number": "505-892-3639",
            "fax_number": "505-892-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 BARBARA LOOP SE",
            "address_2": "SUITE D",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241009",
            "telephone_number": "505-892-3639",
            "fax_number": "505-892-6348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDANCE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-892-3639",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NM",
            "license": "R14768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "98648",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Grodinsky, LMSW
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• Julie Guevara
• Guided Courage, LLC
• Amelia Guider
• Theresa Gurule
• Anthony Gustamantes, MOTR/L
• Kristina Gutierrez-Barela, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.