Individual provider Active NPI

Brandon Guzman, MS

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1841974409
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.