Individual provider Active NPI

Dianna Helen Gonzalez-Guerra, LMHC

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1952189839
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21812 Issued in FL
Practice address
157 Tierra Verde Way
Bradenton, FL 34212-2664
Phone
(941) 780-3537
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 180004312 IL
Mental Health Counselor 101YM0800X MH21812 FL Primary

Addresses

Primary practice location

157 Tierra Verde Way
Bradenton, FL 34212-2664

Mailing address

157 Tierra Verde Way
Bradenton, FL 34212-2664
Phone (941) 780-3537

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

LicenseStateTypeSpecialty
MH21812FLMDMental Health Counselor
180004312ILMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1952189839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TIERRA VERDE WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122664",
            "telephone_number": "941-780-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TIERRA VERDE WAY",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122664",
            "telephone_number": "941-780-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ-GUERRA",
        "first_name": "DIANNA",
        "middle_name": "HELEN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180004312",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.