Erin Elizabeth Lewis, LPCC
Individual provider Active NPI Professional Counselor · Bardstown, KY
NPI 1104596261 · NPPES record last updated Sep 15, 2023
Key facts
- NPI
- 1104596261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 287907 (KY)
- Practice address
- 1013 Granite Dr
Bardstown, KY 40004-2013 - Phone
- (502) 349-3100
- Fax
- (502) 349-3169
- NPI assigned
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Astra Behavioral Health LLC
Practice addresses (Care Compare)
1013 Granite Dr
Bardstown, KY 40004-2013
Phone (502) 349-3100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219002790 | KY | Practitioner - Mental Health Counselor | 2860846243 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Astra Behavioral Health LLC | Current |
Accepting new patients | |
| Astra Virtual Care | Current | Accepting new patients | |
| Astra Recovery Centers, LLC | Current | Accepting new patients |
Locations
1013 Granite Dr
Bardstown, KY 40004
Phone (270) 506-2730
2000 Ring Rd
Elizabethtown, KY 42701
Phone (270) 506-2730
420 N Loretto Rd
Ste 200
Lebanon, KY 40033
Phone 2703214480 ext. 306
4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820
162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 287907 | KY | Yes |
Addresses
Primary practice location
1013 Granite Dr
Bardstown, KY 40004-2013
Mailing address
1013 Granite Dr
Bardstown, KY 40004-2013
Phone (502) 349-3100
NPI Registry JSON
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694736000000",
"number": "1104596261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1013 GRANITE DR",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042013",
"telephone_number": "502-349-3100",
"fax_number": "502-349-3169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1013 GRANITE DR",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400042013",
"telephone_number": "502-349-3100",
"fax_number": "502-349-3169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ERIN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2023-09-15",
"certification_date": "2023-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "287907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bardstown, KY
- Kristen-Savannah Cathrine Leasgang
- Teresa M Lee
- Stephanie Leon
- Jillena Marie Leonard
- Dominique Renee Leroy
- Robin Lea Lewis
- Life Care Center of Bardstown
- Light the Way Pediatric Therapy Services, LLC
- Kathryn Hagan Lile
- Lincoln Trail District Health Department
All providers in Bardstown, KY · Professional Counselor in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.