Active NPI
Aidylee Guzman, LPC
- Professional Counselor
- Phoenix, AZ
National Provider Identifier
1942795596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-19584
- Practice address
- 3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806 - Phone
- (602) 230-7373
- Fax
- (602) 682-7455
- NPI assigned
- Jun 26, 2018
- Last updated
- Nov 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-19584 | AZ | Primary |
| Psychologist | 103T00000X | 5936 | PR |
Addresses
Primary practice location
3033 N Central Ave Ste 700
Phoenix, AZ 85012-2806
Mailing address
3620 N 3Rd St
Phoenix, AZ 85012-2020
Phone (602) 230-7373
Other practice location 1
90 Calle Antonio Jimenez Landrau
Carolina, PR 00918
Phone (787) 944-4411
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-19584 | AZ | MD | Professional Counselor |
| 5936 | PR | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1942795596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3620 N 3RD ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122020",
"telephone_number": "602-230-7373",
"fax_number": "602-682-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3033 N CENTRAL AVE STE 700",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122806",
"telephone_number": "602-230-7373",
"fax_number": "602-682-7455"
}
],
"practiceLocations": [
{
"address_1": "90 Calle Antonio Jimenez Landrau",
"address_purpose": "LOCATION",
"city": "Carolina",
"state": "PR",
"postal_code": "00918",
"country_code": "US",
"telephone_number": "787-944-4411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "AIDYLEE",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-26",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC-19584",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "5936",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.