Individual provider Active NPI

Carolyn B Guillory, LPC, RN

  • Mental Health Counselor
  • Dallas, TX
National Provider Identifier
1982113114
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
71485 Issued in TX
Practice address
8035 E R L Thornton Fwy
Dallas, TX 75228-7018
Phone
(469) 709-8977
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 864408 TX
Mental Health Counselor 101YM0800X 71485 TX Primary

Addresses

Primary practice location

8035 E R L Thornton Fwy
Dallas, TX 75228-7018

Mailing address

8035 E R L Thornton Fwy
Dallas, TX 75228-7018
Phone (469) 709-8977

Other practice location 1

9708 Skillman St
Dallas, TX 75243-5150
Phone (214) 743-1200

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
71485TXMDMental Health Counselor
864408TXMDPsychiatric/Mental Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1982113114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 E R L THORNTON FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287018",
            "telephone_number": "469-709-8977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E R L THORNTON FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752287018",
            "telephone_number": "469-709-8977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9708 Skillman St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752435150",
            "country_code": "US",
            "telephone_number": "214-743-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLORY",
        "first_name": "CAROLYN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "LPC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "864408",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "71485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.