Individual provider Active NPI

Kyrsten Danielle McGuinness

  • Social Worker
  • Eaton, OH
National Provider Identifier
1417530353
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S.2106705 Issued in OH
Practice address
3768 Wayne Trace Rd
Eaton, OH 45320-8412
Phone
(937) 405-5672
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.2001375-TRNE OH
Social Worker 104100000X S.2106705 OH Primary

Addresses

Primary practice location

3768 Wayne Trace Rd
Eaton, OH 45320-8412

Mailing address

624 Tara Oaks Dr
Middletown, OH 45042-3925
Phone (513) 444-5782

Other practice location 1

323 N Broad St
Fairborn, OH 45324-4934
Phone (937) 318-8103

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251104002078 OH Practitioner - Clinical Social Worker 3971093493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

120 N Cherry St
Eaton, OH 45320-1802
Phone (937) 405-5672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.2001375-TRNEOHMDSocial Worker
S.2106705OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Therapeutics, LLC CurrentSince Jul 20, 2025 Accepting new patients
Thrive Therapeutics, LLC PastSince Jun 22, 2021 Accepting new patients

Locations

120 N Cherry St
Eaton, OH 45320
Phone (937) 336-5052

12 W Wenger Rd
Englewood, OH 45322
Phone (937) 405-5672

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1417530353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TARA OAKS DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423925",
            "telephone_number": "513-444-5782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3768 WAYNE TRACE RD",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453208412",
            "telephone_number": "937-405-5672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 N Broad St",
            "address_purpose": "LOCATION",
            "city": "Fairborn",
            "state": "OH",
            "postal_code": "453244934",
            "country_code": "US",
            "telephone_number": "937-318-8103",
            "fax_number": "937-400-2347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUINNESS",
        "first_name": "KYRSTEN",
        "middle_name": "DANIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-11-01",
        "certification_date": "2021-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2001375-TRNE",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2106705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

Verify at the official NPI Registry.