Individual provider Active NPI

Monique Gusman, LPC

  • Counselor
  • Snyder, TX
National Provider Identifier
1972311611
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
97282 Issued in TX
Practice address
4115 Kerrville Ave
Snyder, TX 79549-5605
Phone
(432) 599-4228
NPI assigned
Dec 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 97282 TX Primary

Addresses

Primary practice location

4115 Kerrville Ave
Snyder, TX 79549-5605

Mailing address

4115 Kerrville Ave
Snyder, TX 79549-5605
Phone (432) 599-4228

Other practice location 1

119 36th St
Snyder, TX 79549-5105
Phone (432) 599-4228

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
97282TXMDLactation Consultant (Non-RN)

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1972311611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 KERRVILLE AVE",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795495605",
            "telephone_number": "432-599-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 KERRVILLE AVE",
            "city": "SNYDER",
            "state": "TX",
            "postal_code": "795495605",
            "telephone_number": "432-599-4228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 36th St",
            "address_purpose": "LOCATION",
            "city": "Snyder",
            "state": "TX",
            "postal_code": "795495105",
            "country_code": "US",
            "telephone_number": "432-599-4228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUSMAN",
        "first_name": "MONIQUE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "97282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snyder, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.