Organization Active NPI

Griffin Lyons Counseling LLC

  • Clinical Social Worker
  • Frankfort, KY
National Provider Identifier
1104272418
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRIFFIN LYONS COUNSELING LLC
Practice address
306 W Main St
Ste 501
Frankfort, KY 40601-1895
Phone
(502) 385-2748
Fax
(502) 996-8400
NPI assigned
May 5, 2016
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
William T Boddie Jr., LCSW
Title
Owner/Clinical Social Worker
Phone
(502) 385-2748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

306 W Main St
Ste 501
Frankfort, KY 40601-1895

Mailing address

306 W Main St
Ste 501
Frankfort, KY 40601-1895
Phone (502) 385-2748

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180125001729 KY Part B Supplier - Clinic/Group Practice 0749549483 Receives reassigned benefits from 1 practitioner
Practice locations: Frankfort, KY

National Provider Directory

National Provider Directory

Locations

306 W Main St
Ste 501
Frankfort, KY 40601
Phone (502) 385-2748

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1104272418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "address_2": "STE 501",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011895",
            "telephone_number": "502-385-2748",
            "fax_number": "502-996-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W MAIN ST",
            "address_2": "STE 501",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406011895",
            "telephone_number": "502-385-2748",
            "fax_number": "502-996-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIFFIN LYONS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "BODDIE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "502-385-2748",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.