Individual provider Active NPI

Kimberley McGuiness

  • Mental Health Counselor
  • Town and Country, MO
National Provider Identifier
1760001457
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2019003417 Issued in MO
Practice address
249 Lamp and Lantern Village
Town and Country, MO 36017
Phone
(314) 283-7617
NPI assigned
Apr 13, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2019003417 MO Primary
Student in an Organized Health Care Education/Training Program 390200000X 2019003417 MO

Addresses

Primary practice location

249 Lamp and Lantern Village
Town and Country, MO 36017

Mailing address

13037 Wheatfield Farm Rd
Saint Louis, MO 63141-8546
Phone (314) 283-7617

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherMOPRIVATE PAY PRACTICE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@getcenteredcounselingstl.com Direct

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

LicenseStateTypeSpecialty
2019003417MOMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1760001457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13037 WHEATFIELD FARM RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418546",
            "telephone_number": "314-283-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 LAMP AND LANTERN VILLAGE",
            "city": "TOWN AND COUNTRY",
            "state": "MO",
            "postal_code": "36017",
            "telephone_number": "314-283-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUINESS",
        "first_name": "KIMBERLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2019003417",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": "2019003417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY PRACTICE",
            "identifier": "NA",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@getcenteredcounselingstl.com",
            "affiliation": "Y",
            "endpointDescription": "Counseling, Coaching and Wellness practice",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Private Practice Administration",
            "address_1": "249 Lamp and Lantern Village",
            "city": "Town and Country",
            "state": "MO",
            "country_code": "US",
            "postal_code": "36017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Town and Country, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.