Guido Blacutt

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R10628 Issued in OR

Practice address

4600 S Four Mile Run Dr Apt 410
Arlington, VA 22204-3562

Phone

(703) 416-9246

NPI assigned

Jun 3, 2024

Last updated

Jan 17, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Nemora LLC

  • Mental Health Counselor
  • Alexandria, VA
  • NPI 1922912245
  Authorized official Same address or phone

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1912748237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5441 S MACADAM AVE STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972396106",
            "telephone_number": "703-472-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 S FOUR MILE RUN DR APT 410",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043562",
            "telephone_number": "703-416-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACUTT",
        "first_name": "GUIDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-03",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016923",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R10628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Black
• Emalee Black, PHARMD
• Jessica Donze Black, RD
• Sydney Lauren Blackman, SLP-CFY
• Carly B Blackstone, PSY.D.
• Thomas Blahovec, P.T.
• Martelle Blaine, PA-C
• Maxwell Blake
• Jacqueline Angelica Blakely
• Norma Blann, RPH

• Mental Health Counselor in Arlington, VA
• Providers in Arlington, VA by specialty
• Mental Health Counselor in Virginia

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