Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Jean Gutierrez

Individual provider Mental Health Counselor · NPI 1114415015

Carly Jean Gutierrez is a Mental Health Counselor in Hicksville, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018

Practice location Address checks out

100 W Nicholai St Unit 2
Hicksville, NY 11801-3887
Phone: (516) 788-7258
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence D010069 (NY)

Record details

NPI number1114415015
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 25, 2018
Last updated in NPPESOctober 23, 2025
Certification dateOctober 23, 2025

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