Individual provider Active NPI

Kristin Renee McGrady, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kent, OH
National Provider Identifier
1205727161
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0040216 Issued in OH
Practice address
155 N Water St
Kent, OH 44240-2418
Phone
(330) 714-5494
NPI assigned
Jul 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0040216 OH Primary

Addresses

Primary practice location

155 N Water St
Kent, OH 44240-2418

Mailing address

541 Sydney PL
Tallmadge, OH 44278-1553
Phone (330) 714-5494

Other names 1

  • Mrs. Kristin Renee Clemens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260305001404 OH Practitioner - Nurse Practitioner 0648752907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1320 Corporate Dr
Suite 100
Hudson, OH 44236-4442

3575 Forest Lake Dr
Suite 100
Green, OH 44685-8115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0040216OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Services, LLC CurrentSince Jan 18, 2026 Accepting new patients
Florence Kimbo M.D., LLC PastSince Jul 1, 2025 Accepting new patients

Locations

3575 Forest Lake Dr
Ste 100
Green, OH 44685
Phone (330) 703-0105

Organizations & group practices 2

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": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1205727161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SYDNEY PL",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781553",
            "telephone_number": "330-714-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N WATER ST",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442402418",
            "telephone_number": "330-714-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRADY",
        "first_name": "KRISTIN",
        "middle_name": "RENEE",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0040216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "CLEMENS",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kent, OH

Sources for this page

Verify at the official NPI Registry.