Active NPI
Brandon Guzman, MS
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1841974409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1717 SW Park Ave
Portland, OR 97201-3267 - Phone
- (203) 844-0533
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
1717 SW Park Ave
Portland, OR 97201-3267
Mailing address
1717 SW Park Ave Apt 821
Portland, OR 97201-3604
Phone (203) 844-0533
Other practice location 1
180 Fairfield Ave
Bridgeport, CT 06604-4252
Phone (203) 382-3198
Other practice location 2
1910 Boston Ave
Bridgeport, CT 06610-2622
Phone (203) 945-7958
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1841974409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 SW PARK AVE APT 821",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972013604",
"telephone_number": "203-844-0533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 SW PARK AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972013267",
"telephone_number": "203-844-0533"
}
],
"practiceLocations": [
{
"address_1": "180 Fairfield Ave",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066044252",
"country_code": "US",
"telephone_number": "203-382-3198",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1910 Boston Ave",
"address_purpose": "LOCATION",
"city": "Bridgeport",
"state": "CT",
"postal_code": "066102622",
"country_code": "US",
"telephone_number": "203-945-7958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "BRANDON",
"name_prefix": "Mr.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.