KIRSIS HERNANDEZ-GUZMAN LCSWA
NPI 1629141858
Counselor - Addiction (Substance Use Disorder) in Raleigh, NC
About Kirsis Hernandez-guzman Lcswa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIRSIS HERNANDEZ-GUZMAN LCSWA (NPI 1629141858) is an individual addiction (substance use disorder) provider in Raleigh, North Carolina, licensed in North Carolina (LCAS-23178) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kirsis Hernandez-guzman Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kirsis Hernandez-guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wake Forest, NC 27587
- Reassigned Medicare billing, North Carolina enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RALEIGH, NC 27615
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 Kirsis Hernandez-guzman's NPI number?
The NPI number for Kirsis Hernandez-guzman is 1629141858. It was assigned to this individual provider in the NPPES registry on November 16, 2006.
Where is Kirsis Hernandez-guzman located?
Kirsis Hernandez-guzman practices at 1037 Bullard Ct Suite 208, Raleigh, NC 27615. The listed phone number is (919) 877-6101.
What is Kirsis Hernandez-guzman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Kirsis Hernandez-guzman enrolled in Medicare?
Yes. Kirsis Hernandez-guzman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kirsis Hernandez-guzman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kirsis Hernandez-guzman reassigns Medicare benefits to Santana Therapy & Counseling, PLLC (Wake Forest, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kirsis Hernandez-guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kirsis Hernandez-guzman was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Kirsis Hernandez-Guzman, LCSWA · NPI 1629141858
Addiction (Substance Use Disorder) provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since November 16, 2006.
## Identity
- **NPI:** 1629141858 (Entity type: Individual)
- **Enumerated:** November 16, 2006
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** LCAS-23178 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1037 BULLARD CT, SUITE 208, Raleigh, NC 27615-6871
- **Phone:** (919) 877-6101
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Santana Therapy & Counseling, PLLC (NPI 1922648633, Wake Forest, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** August 2, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1629141858) · Data from the CMS NPPES public registry.