DONITA KAYE MCGUIRE LCDC III
NPI 1750606786
Counselor - Addiction (Substance Use Disorder) in Sandusky, OH
NPI Status: Active since April 01, 2010
Contact Information
1218 CLEVELAND RD
SANDUSKY, OH
ZIP 44870
Phone: (419) 626-9156
- Individual
- Female
- Years of Experience 14
- Counselor
- Addiction (Substance Use Disorder)
- Accepts Insurance
- May Accept Medicare Approved Payment
- PECOS Enrolled
About DONITA MCGUIRE
This page provides the complete NPI Profile along with additional information for Donita Mcguire, a provider established in Sandusky, Ohio with a medical specialization in Counselor, focusing in addiction (substance use disorder) and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1750606786 assigned on April 2010. The practitioner's primary taxonomy code is 101YA0400X with license number 081108 (OH). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1750606786
- Provider Name
- DONITA KAYE MCGUIRE LCDC III
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1218 CLEVELAND RD SANDUSKY, OH 44870
- Location Phone
- (419) 626-9156
- Mailing Address
- 702 W ELMORE EASTERN RD ELMORE, OH 43416
- Mailing Phone
- (419) 460-1159
- Medical School Name
- OTHER
- Graduation Year
- 2012
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2010
- Last Update Date
- 04-01-2010
- Code Navigator
A Substance Abuse or Addiction Counselor like Donita Mcguire advices patients who experience alcoholism, drug addiction, eating disorders, mental health issues, or other mental or behavioral problems. Substance Abuse counselors provide treatment and support to help clients recover from addiction or modify problem behaviors. Many counselors incorporate the principles of 12-step programs, such as Alcoholics Anonymous (AA). They educate clients how to cope with stress and life’s issues in ways that help them recover. Counselors also help patients improve their personal relationships and find ways to discuss their addiction or other problems with family and friends.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Addiction (Substance Use Disorder)
- Taxonomy Code
- 101YA0400X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 081108
- License State
- OH
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Donita Mcguire is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Donita Mcguire is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1951745041
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240216001312
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for DONITA KAYE MCGUIRE LCDC III
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 5 | 0 | 6 | 0 | 6 | 7 | 8 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 12 | 0 | 12 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 2 + 0 + 1 + 2 + 7 + 1 + 6 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1750606786 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316043284 | TERRY E WISEMAN MD Individual | Pediatrics | 1218 CLEVELAND RD SANDUSKY, OH 44870 (216) 383-0100 |
| 1386740264 | KIMBERLY A VACCA MD Individual | Pediatrics | 1218 CLEVELAND RD SANDUSKY, OH 44870 (216) 383-0100 |
| 1164553657 | UNIVERSITY PRIMARY CARE PRACTICES Organization | Pediatrics | 1218 CLEVELAND RD SANDUSKY, OH 44870 (216) 383-0100 |
| 1952518169 | HENRIETTA A WHELAN LISW Individual | Social Worker (Clinical) | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1104033257 | BARBARA JEAN FELDMAR LISW Individual | Social Worker (Clinical) | 1218 CLEVELAND RD SANDUSKY, OH 44870 (800) 686-0088 |
| 1720298151 | MS. MARCIE MARIE PLATTE LISW Individual | Social Worker (Clinical) | 1218 CLEVELAND RD SUITE B SANDUSKY, OH 44870 (419) 626-9156 |
| 1629288915 | MARGE L HOYT LPC, LSW Individual | Counselor | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1982814273 | MISS VALERIE KAYE GRUBB MSW, LISW Individual | Social Worker (Clinical) | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1467654046 | MRS. BETSY A PERTNER LSW Individual | Social Worker | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1134316649 | JOSEPH EDWARD BODI CDCA Individual | Counselor (Addiction (Substance Use Disorder)) | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1811213408 | BAYSHORE COUNSELING SERVICES Organization | Community/Behavioral Health | 1218 CLEVELAND RD SUITE B SANDUSKY, OH 44870 (419) 626-9156 |
| 1396043360 | BAYSHORE COUNSELING SERVICES Organization | Community/Behavioral Health | 1218 CLEVELAND RD SUITE B SANDUSKY, OH 44870 (419) 626-9156 |
| 1508134065 | MS. MICHELLE MARIE MARINGER B.A., CDCA Individual | Counselor (Addiction (Substance Use Disorder)) | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1134471642 | MS. TAMMY S HENDERSON PC Individual | Counselor (Professional) | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1366870719 | LORI FEISZLI Individual | Counselor | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1548674898 | MRS. LAUREN GACKSTETTER C.T. Individual | Counselor | 1218 CLEVELAND RD SUITE B SANDUSKY, OH 44870 (419) 626-9156 |
| 1558792523 | HOLLY ONTKO Individual | Counselor | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
| 1972934701 | MS. MELISSA FOWLER BA, CT Individual | Counselor | 1218 CLEVELAND RD SANDUSKY, OH 44870 (419) 626-9156 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750606786, enumerated in the NPI registry as an "individual" on April 01, 2010
The provider is located at 1218 Cleveland Rd Sandusky, Oh 44870 and the phone number is (419) 626-9156
The provider's speciality is Counselor with taxonomy code 101YA0400X with a focus in Addiction (Substance Use Disorder)
The provider has more than 14 years of experience.
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on April 01, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.