Mayra Iris Guevara

Primary specialty

Art TherapistTaxonomy code 221700000X

License

001802 Issued in NY

Practice address

1923 Jean St
Houston, TX 77023-4609

Phone

(646) 323-5568

NPI assigned

Mar 15, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1912655267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 JEAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 JEAN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770234609",
            "telephone_number": "646-323-5568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "MAYRA",
        "middle_name": "IRIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "001802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.HEADWAY.CO",
            "affiliation": "Y",
            "endpointDescription": "Platform",
            "affiliationName": "Headway New Jersey Behavioral Health Services, P.C.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HTML",
            "address_1": "114 5th Ave Fl 2",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100115611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Catherine Michelle Guevara
• Diana Carolina Guevara, RD, LD
• Estela Del Carmen Guevara
• Heather Guevara
• Maria Camila Guevara, MD
• Mirian Guevara, OTR
• Natali Maria Guevara
• Oscar Guevara, LCSW
• Jean Guez, PH.D.
• Timothy Gug, PA-C

• Art Therapist in Houston, TX
• Providers in Houston, TX by specialty
• Art Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.