Individual provider Active NPI

Vivian Echevarria-Guzman, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1942647110
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
67956 Issued in TX
Practice address
6500 Rookin St # 200
Houston, TX 77074-5019
Phone
(832) 548-5000
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 67956 TX
Professional Counselor 101YP2500X 67956 TX Primary

Addresses

Primary practice location

6500 Rookin St # 200
Houston, TX 77074-5019

Mailing address

PO Box 66308
Houston, TX 77266-6308
Phone (832) 548-5000

Other practice location 1

6550 Mapleridge
Suite 106
Houston, TX 77081
Phone (832) 548-5000

Other identifiers 1

IdentifierTypeStateIssuer
080462703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240212002511 TX Practitioner - Mental Health Counselor 9830532381 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67956TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Legacy Community Health Services, Inc CurrentSince Jan 1, 2024 Accepting new patients
Latitude Counseling, PLLC Professional Current Accepting new patients

Locations

3030 North St
Ste 500
Beaumont, TX 77702
Phone (409) 212-1533

6500 Rookin St
#200
Houston, TX 77074
Phone (713) 351-7350

6441 High Star Dr
Houston, TX 77074
Phone (832) 548-5300

10711 Kipp Way Dr
Houston, TX 77099
Phone (281) 628-2020

6550 Mapleridge St
Ste 106
Houston, TX 77081
Phone (713) 521-2772

14030 Florence Rd
Sugar Land, TX 77498

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1942647110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308",
            "telephone_number": "832-548-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 ROOKIN ST # 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770745019",
            "telephone_number": "832-548-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6550 Mapleridge",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77081",
            "country_code": "US",
            "telephone_number": "832-548-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHEVARRIA-GUZMAN",
        "first_name": "VIVIAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67956",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "67956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080462703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.