Active NPI
Kimberley McGuiness
- Mental Health Counselor
- Town and Country, MO
National Provider Identifier
1760001457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2019003417
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | MO | PRIVATE PAY PRACTICE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2019003417 | MO | MD | Student 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.