JESSICA ANNE GUHA
NPI 1326656992
Counselor - Mental Health in Berwyn, IL

Active since July 20, 2020Opted out of Medicare · through Oct 27, 2027
6415 STANLEY AVE, BERWYN, IL 60402(708) 745-5277 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Anne Guha NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA ANNE GUHA (NPI 1326656992) is an individual mental health provider in Berwyn, Illinois and active in the NPI registry since July 2020. She has opted out of Medicare through October 27, 2027.

NPPES Registry Identity

NPI1326656992
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJESSICA ANNE GUHA
Location Address6415 STANLEY AVEBerwyn, IL 60402-3130
Mailing Address6415 Stanley AveBerwyn, IL 60402-3130 · (708) 745-5277
Sole ProprietorYes
Enumeration DateJuly 20, 2020
NPPES CertifiedJuly 20, 2020
NPI 1326656992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
6415 STANLEY AVE, Berwyn, IL 60402

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jessica Anne Guha has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 27, 2025 through October 27, 2027.

Opt-Out Effective DateOctober 27, 2025
Opt-Out In Effect ThroughOctober 27, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6415 STANLEY AVE
BERWYN, IL 60402
Case Manager/Care Coordinator
6415 STANLEY AVE
BERWYN, IL 60402
Counselor
6415 STANLEY AVE
BERWYN, IL 60402
Social Worker
6415 STANLEY AVE
BERWYN, IL 60402
Social Worker
6415 STANLEY AVE
BERWYN, IL 60402
Social Worker
6415 STANLEY AVE
BERWYN, IL 60402
Marriage & Family Therapist
6415 STANLEY AVE
BERWYN, IL 60402
Counselor (Mental Health)
6415 STANLEY AVE
BERWYN, IL 60402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Guha's NPI number?

The NPI number for Jessica Guha is 1326656992. It was assigned to this individual provider in the NPPES registry on July 20, 2020.

Where is Jessica Guha located?

Jessica Guha practices at 6415 Stanley Ave, Berwyn, IL 60402. The listed phone number is (708) 745-5277.

What is Jessica Guha's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jessica Guha enrolled in Medicare?

No. Jessica Guha has opted out of Medicare through October 27, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jessica Guha was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.