Individual provider Active NPI

Darrell M Guest, LISW-S, LICDC

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1609853753
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1302017 Issued in OH
Practice address
1320 Woodman Dr
Suite 200
Dayton, OH 45432-3497
Phone
(937) 223-1781
Fax
(937) 853-0096
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1302017 OH Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001182 OH
Clinical Social Worker 1041C0700X W909 OH

Addresses

Primary practice location

1320 Woodman Dr
Suite 200
Dayton, OH 45432-3497

Mailing address

1320 Woodman Dr
Suite 200
Dayton, OH 45432-3497
Phone (937) 223-1781

Other identifiers 1

IdentifierTypeStateIssuer
2272231MedicaidOH

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
I20130313000123 OH Practitioner - Clinical Social Worker 4082869342 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness Card LLCGroup PAC ID 6800078791, 9 clinicians

Practice addresses (Care Compare)

1320 Woodman Dr
Dayton, OH 45432-3497
Phone (937) 272-5926

3440 Office Park Dr
Kettering, OH 45439-2214
Phone (937) 299-9060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001182OHMDAddiction (Substance Use Disorder) Counselor
W909OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clearing Path's Therapeutic Services, LTD CurrentSince Dec 17, 2015 Accepting new patients
Clearing Path's Therapeutic Services, LTD CurrentSince Dec 17, 2015 Accepting new patients
Clincare International Center LTD CurrentSince Jul 1, 2018 Accepting new patients
Wellness Card LLC CurrentSince Jan 18, 2013 Accepting new patients
Communikare Behavioral Health Services LLC Clinical Current Accepting new patients
Communikare Behavioral Health Services LLC CurrentSince Mar 21, 2023 Accepting new patients
Clincare International Center LTD CurrentSince Jul 1, 2018 Accepting new patients
Advanced Therapeutic Services Inc Past Accepting new patients

Locations

2416 Esquire Dr
Ste B
Beavercreek, OH 45431
Phone (937) 429-2422

1320 Woodman Dr
Dayton, OH 45432
Phone (937) 223-1781

1320 Woodman Dr
Ste 200
Dayton, OH 45432
Phone (937) 223-1781

3440 Office Park Dr
Kettering, OH 45439
Phone (937) 299-9060

2555 S Dixie Dr
Ste 100
Kettering, OH 45409
Phone (937) 299-9060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10693/brand/1/csg/1/fhir/r4
  • Direct secure messaging: darrell.guest.1@10693.direct.athenahealth.com

Organizations & group practices 8

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1609853753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323497",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "SUITE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323497",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEST",
        "first_name": "DARRELL",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1302017",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "001182",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "W909",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2272231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.