Individual provider Active NPI

Wade Michael McGuire, LPCC

  • Professional Counselor
  • Bowling Green, KY
National Provider Identifier
1902296056
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
173956 Issued in KY
Practice address
944 Fields Dr Ste 102
Bowling Green, KY 42104-5381
Phone
(270) 904-7029
NPI assigned
Jan 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 173956 KY Primary
Mental Health Counselor 101YM0800X LPCCCA00216570 KY

Addresses

Primary practice location

944 Fields Dr Ste 102
Bowling Green, KY 42104-5381

Mailing address

944 Fields Dr Ste 102
Bowling Green, KY 42104-5381
Phone (270) 904-7029

Other identifiers 1

IdentifierTypeStateIssuer
30604011MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240129003312 KY Practitioner - Mental Health Counselor 5890148530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew 25 AIDS Services IncGroup PAC ID 3375513641, 7 clinicians

Practice addresses (Care Compare)

452 Old Corydon Rd
Henderson, KY 42420-4645
Phone (270) 826-0200

944 Fields Dr
Suite 102
Bowling Green, KY 42104-5381
Phone (270) 904-7029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCCCA00216570KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew 25 AIDS Services Inc CurrentSince Oct 10, 2025 Accepting new patients
Matthew 25 AIDS Services Inc Mental Health CurrentSince Oct 10, 2025 Accepting new patients
Lifeskills, Inc. PastSince Apr 1, 2021 Accepting new patients

Locations

944 Fields Dr
Ste 102
Bowling Green, KY 42104
Phone (270) 495-1312

452 Old Corydon Rd
Henderson, KY 42420
Phone (270) 826-0200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1902296056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 FIELDS DR STE 102",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045381",
            "telephone_number": "270-904-7029",
            "fax_number": "270-826-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 FIELDS DR STE 102",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421045381",
            "telephone_number": "270-904-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGUIRE",
        "first_name": "WADE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-28",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "173956",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "LPCCCA00216570",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30604011",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.