Paul Gutierrez Jr., MBA, MA, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

13204 Issued in CO

Practice address

1401 Potter Dr Ste 101
Colorado Springs, CO 80909-3500

Phone

(719) 660-6292

Fax

(719) 683-9387

NPI assigned

Nov 5, 2014

Last updated

Mar 17, 2018By 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 3

Addresses

Other identifiers 1

Other names 1

• Mr. Paul E Gutierrez Jr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Master of Arts, Master of Business Administration

State licenses

Practice roles

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.

• Pathways Psychological Services, LLP

  • Clinical Psychologist
  • Pueblo, CO
  • NPI 1750702346

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942606777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 POTTER DR",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093558",
            "telephone_number": "719-660-6292",
            "fax_number": "719-683-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 POTTER DR STE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093500",
            "telephone_number": "719-660-6292",
            "fax_number": "719-683-9387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Peerless Farms Rd",
            "address_purpose": "LOCATION",
            "city": "Peyton",
            "state": "CO",
            "postal_code": "808317456",
            "country_code": "US",
            "telephone_number": "719-660-6292",
            "fax_number": "719-683-9387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MBA, MA, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "13204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750702346",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAUL",
            "last_name": "GUTIERREZ",
            "middle_name": "E",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "COUNSELOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany Marie Gutierrez, LSW
• Carmen M Gutierrez, LPC
• Dylan Gutierrez
• Kandice Gutierrez
• Kristen Gutierrez, LMT, CNMT, CCT
• Simon B Gutierrez
• Sydney Gutierrez
• Tehya Gutierrez
• Trina Gutierrez
• Victoria Gutierrez, PTA

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.