Active NPI
Judith Guillaume-Joseph, LMHC
- Mental Health Counselor
- Ave Maria, FL
National Provider Identifier
1760841878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13559
- Practice address
- 4770 Corrado Ave
Ave Maria, FL 34142-4647 - Phone
- (305) 776-6007
- NPI assigned
- Feb 17, 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 13559 | FL | Primary |
Addresses
Primary practice location
4770 Corrado Ave
Ave Maria, FL 34142-4647
Mailing address
4770 Corrado Ave
Ave Maria, FL 34142-4647
Phone (305) 776-6007
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 |
|---|---|---|---|
| 13559 | FL | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1760841878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 CORRADO AVE",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341424647",
"telephone_number": "305-776-6007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4770 CORRADO AVE",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341424647",
"telephone_number": "305-776-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUILLAUME-JOSEPH",
"first_name": "JUDITH",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-17",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "13559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ave Maria, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.