Active NPI
Kristen Gruenhagen, LSW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1427680875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2106455
- Practice address
- 4633 Aicholtz Rd
Cincinnati, OH 45244-1447 - Phone
- (513) 752-1555
- NPI assigned
- Feb 4, 2020
- Last updated
- Dec 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2106455 | OH | Primary |
Addresses
Primary practice location
4633 Aicholtz Rd
Cincinnati, OH 45244-1447
Mailing address
4629 Aicholtz Rd Ste 2
Cincinnati, OH 45244-1560
Phone (513) 752-1555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.2106455 | Other | OH | COUNSELOR, SOCIAL WORKER & MFT BOARD |
| 14666037 | Other | OH | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2106455 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catalyst Counseling LLC | Clinical | Current | Accepting new patients |
Locations
8809 Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 227-1628
8809B Cincinnati Dayton Rd
West Chester, OH 45069
Phone (513) 360-8205
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734048000000",
"number": "1427680875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 AICHOLTZ RD STE 2",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452441560",
"telephone_number": "513-752-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4633 AICHOLTZ RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452441447",
"telephone_number": "513-752-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUENHAGEN",
"first_name": "KRISTEN",
"name_prefix": "Ms.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2106455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR, SOCIAL WORKER & MFT BOARD",
"identifier": "S.2106455",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "14666037",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.