Mary Tapia Guerrero, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

84576 Issued in TX

Practice address

3418 Town & Country Drive
San Angelo, TX 76903

Phone

(325) 653-4673

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• The Childrens Advocacy Center of Greater West Texas Inc

  • Mental Health Counselor
  • San Angelo, TX
  • NPI 1861081549
  NPD

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1801526835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5195",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769025195",
            "telephone_number": "325-653-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 TOWN & COUNTRY DRIVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "76903",
            "telephone_number": "325-653-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MARY",
        "middle_name": "TAPIA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Hadley Gross, M.D.
• Matthew David Groth, LPC
• James Fierro Guadarrama, P.T.A.
• Gabriela Guajardo, RBT
• Margret Guerra
• Emily Guevara, MS, RD, LD
• Evelissa Guevara
• Alexis Gurley, LPC-I
• Dara Guthrie, FNP
• Luz Enix Guthrie, LPC

• Mental Health Counselor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.

Verify at the official NPI Registry.