Kristen Gravitt, CDCA

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

1087 W 2ND St
Xenia, OH 45385-3713

Phone

(937) 708-8348

NPI assigned

Jul 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kristen Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Her Story, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Springfield, OH
  • NPI 1164194478

  Addiction (Substance Use Disorder)

  NPD
• Her Story, Inc

  • Community/Behavioral Health Agency
  • Springfield, OH
  • NPI 1841901337

  Social Worker

  NPD

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1851079313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453850212",
            "telephone_number": "937-708-8348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1087 W 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853713",
            "telephone_number": "937-708-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVITT",
        "first_name": "KRISTEN",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-06",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.184815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "JONES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacey Gough, LPN
• Graceworks Enhanced Living
• Andrew Gradias
• Shannon L Graham
• Matthew Gravely, CDCA
• Amanda Green
• Greene County
• Greene County
• Greene County
• Greene County Board of MRDD

• Social Worker in Xenia, OH
• Providers in Xenia, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.