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ERIN CHRISTINE MCGUIRE
NPI 1780221358
Social Worker - Clinical in Lexington, KY

Active since December 03, 2019PECOS EnrolledAccepts Medicare Assignment
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511(859) 253-1686 Get Directions Write a Review

NPPES record last updated: September 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 17, 2025, Dec 3, 2019 (2 updates tracked since 2019).

About Erin Christine Mcguire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ERIN CHRISTINE MCGUIRE (NPI 1780221358) is an individual clinical provider in Lexington, Kentucky, licensed in Kentucky (LCSW00001136) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1780221358
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameERIN CHRISTINE MCGUIRE
Location Address1351 NEWTOWN PIKE BLDG 1Lexington, KY 40511-1277
Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277 · (859) 253-1686
Phone(859) 253-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 3, 2019
Last NPPES UpdateSeptember 17, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2025
✔ NPI 1780221358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · LCSW00001136
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1351 NEWTOWN PIKE BLDG 1, Lexington, KY 40511
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Other Identifiers 1

Medicaid1790731081KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Erin Christine Mcguire is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082110242
PECOS Enrollment IDI20251006001995
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Erin Mcguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kentucky Counseling Center, LLC
68 mi
Counselor
1169 EASTERN PKWY STE 3328
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 201 clinicians in this Medicare group
NPI 1932590338 (855) 591-0092

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40511 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MONICA KLAMPE
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
TIFFANY MORGAN JOHNSON
Counselor (Mental Health)
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (589) 253-1686
ERIN MARIE PATRICK CSW
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
SCOTT HOPKINS
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MIKAYLA DOUGALL
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
KACEY ALCORN
Community Health Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
MRS. ERICA HAYLEY FERGUSON BSW, TCADC, MSW
Social Worker
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686
ASHLEY NICOLE BOWLING BA
Peer Specialist
1351 NEWTOWN PIKE BLDG 1
LEXINGTON, KY 40511
Fayette County (859) 253-1686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Erin Mcguire's NPI number?

The NPI number for Erin Mcguire is 1780221358. It was assigned to this individual provider in the NPPES registry on December 3, 2019.

Where is Erin Mcguire located?

Erin Mcguire practices at 1351 Newtown Pike Bldg 1, Lexington, KY 40511. The listed phone number is (859) 253-1686.

What is Erin Mcguire's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Erin Mcguire enrolled in Medicare?

Yes. Erin Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Erin Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erin Mcguire reassigns Medicare benefits to Kentucky Counseling Center, LLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Erin Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Erin Mcguire accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Erin Mcguire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Erin Mcguire was last updated on September 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.