Active NPI
Monique Gusman, LPC
- Counselor
- Snyder, TX
National Provider Identifier
1972311611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 97282
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 97282 | TX | MD | Lactation 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.