Adriana Lynn Gutierrez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

63208 Issued in TX

Practice address

1855 Longmire Rd
Hilltop
Conroe, TX 77304-2001

Phone

(936) 648-5379

NPI assigned

Jun 30, 2009

Last updated

Jun 30, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Adriana Lynn Mata Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246320000000",
    "number": "1881822724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 CRANNOG WAY",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773014133",
            "telephone_number": "936-522-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 LONGMIRE RD",
            "address_2": "HILLTOP",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042001",
            "telephone_number": "936-648-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ADRIANA",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADRIANA",
            "last_name": "MATA",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gabriel Guiza, LMSW
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• Gulf Coast Prosthetics
• Binita Gupta, OD
• Poonam Gupta
• Kristina D Gutierrez, PNP
• Sergio Jasael Gutierrez, MD
• Yasmeen Gutierrez
• H Town Surgical Associates, PLLC
• H-E-B, LP (HEB Pharmacy #757)

• Professional Counselor in Conroe, TX
• Providers in Conroe, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.