MEDICARE: SHUMIN GUO LMHC-DP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	014186	NY

General Provider Information

NPI Number	:	1174277800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHUMIN GUO LMHC-DP

Provider Business Mailing Address
First Line	:	15034 6TH AVE
Second Line	:
City	:	WHITESTONE
State	:	NY
Zip	:	11357-1205
Country	:	US
Telephone Number	:	732-931-6168
Fax Number	:

Provider Business Practice Location Address
First Line	:	9777 QUEENS BLVD PH REGO PARK
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	11374
Country	:	US
Telephone Number	:	718-676-4306
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2022
Last Update Date	:	02/05/2026

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Directions to “ SHUMIN GUO LMHC-DP” Practice Location

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