Active NPI
Tina Guerin, LCDC, LPC-INTERN
- Professional Counselor
- Belton, TX
National Provider Identifier
1952681082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67193
- Practice address
- 1201 Huey Dr
Belton, TX 76513-4503 - Phone
- (803) 673-2402
- NPI assigned
- Aug 20, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 11410 | TX | |
| Professional Counselor | 101YP2500X | 67193 | TX | Primary |
Addresses
Primary practice location
1201 Huey Dr
Belton, TX 76513-4503
Mailing address
PO Box 5362
Fort Hood, TX 76544-0362
Phone (803) 673-2402
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 |
|---|---|---|---|
| 11410 | TX | MD | Chiropractor |
| 67193 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313798400000",
"number": "1952681082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5362",
"city": "FORT HOOD",
"state": "TX",
"postal_code": "765440362",
"telephone_number": "803-673-2402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 HUEY DR",
"city": "BELTON",
"state": "TX",
"postal_code": "765134503",
"telephone_number": "803-673-2402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERIN",
"first_name": "TINA",
"name_prefix": "Mrs.",
"credential": "LCDC, LPC-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-20",
"last_updated": "2011-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "11410",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.