Individual provider Active NPI

Teresa Renee Guidry-Shigemasa, MSCP, NCC,LPC, RPT-S

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1992083893
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62549 Issued in TX
Practice address
8956 Research Blvd
BLDG. 2
Austin, TX 78758-5902
Phone
(512) 451-7337
Fax
(512) 451-8729
NPI assigned
Jul 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62549 TX Primary

Addresses

Primary practice location

8956 Research Blvd
BLDG. 2
Austin, TX 78758-5902

Mailing address

8956 Research Blvd
BLDG. 2
Austin, TX 78758-5902
Phone (512) 451-7337

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240111004949 TX Practitioner - Mental Health Counselor 2264883446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Center for Counseling and Pastoral Care, Inc.Group PAC ID 0244265130, 11 clinicians

Practice addresses (Care Compare)

8956 Research Blvd
BLDG 2
Austin, TX 78758-5969
Phone (512) 451-7337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
62549TXMDPharmacist

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311638400000",
    "number": "1992083893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8956 RESEARCH BLVD",
            "address_2": "BLDG. 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585902",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8956 RESEARCH BLVD",
            "address_2": "BLDG. 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585902",
            "telephone_number": "512-451-7337",
            "fax_number": "512-451-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDRY-SHIGEMASA",
        "first_name": "TERESA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSCP, NCC,LPC, RPT-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.