Active NPI
Michael D Guerra, LMHC
- Mental Health Counselor
- Burlington, MA
National Provider Identifier
1811419229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11681
- Practice address
- 101 Cambridge St Ste 230
Burlington, MA 01803-3767 - Phone
- (708) 292-8419
- NPI assigned
- Jul 7, 2017
- Last updated
- Feb 29, 2024
- Sex
- Male
- 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 | 11681 | MA | Primary |
Addresses
Primary practice location
101 Cambridge St Ste 230
Burlington, MA 01803-3767
Mailing address
PO Box 540013
Waltham, MA 02454-0013
Phone (844) 722-3681
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 |
|---|---|---|---|
| 11681 | MA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reframe LLC | Mental Health | Current | Accepting new patients |
| Optum Behavioral Care of Connecticut, P.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Waltham, MA
- NPI 1114747433
-
- Counseling Psychologist
- Woburn, MA
- NPI 1205617370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709164800000",
"number": "1811419229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 540013",
"city": "WALTHAM",
"state": "MA",
"postal_code": "024540013",
"telephone_number": "844-722-3681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CAMBRIDGE ST STE 230",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033767",
"telephone_number": "708-292-8419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-07",
"last_updated": "2024-02-29",
"certification_date": "2024-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "11681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.