Nikole Gutierrez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

74115 Issued in TX

Practice address

2685 N Coria St Ste B2
Brownsville, TX 78520-8813

Phone

(956) 832-8907

NPI assigned

Feb 13, 2017

Last updated

May 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Leaf Mental Health PLLCGroup PAC ID 7214379460, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Leaf Mental Health PLLC

  • Mental Health Counselor
  • Brownsville, TX
  • NPI 1528755238
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1972042729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 N CORIA ST STE B2",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208813",
            "telephone_number": "956-832-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 N CORIA ST STE B2",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208813",
            "telephone_number": "956-832-8907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Central Blvd",
            "address_purpose": "LOCATION",
            "city": "Brownsville",
            "state": "TX",
            "postal_code": "785208714",
            "country_code": "US",
            "telephone_number": "956-621-2043",
            "fax_number": "956-621-4093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "NIKOLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972042729",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Astrid Soledad Gutierrez
• Bene Len Gutierrez, RPH
• Jessica Gutierrez, APRN, FNP-C,PMHNP-BC
• Jessica Gutierrez
• Joshua Gutierrez, CHW
• Pedro Gutierrez, M.ED., C.T.S., L.P.C
• Ruben Dario Gutierrez
• Samuel Gutierrez, LMSW
• Aldo Eliud Guzman Ramos
• Maria Elena Guzman, RN,WHNP,BS

• Professional Counselor in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.