Individual provider Active NPI

Erin Elizabeth Lewis, LPCC

  • Professional Counselor
  • Bardstown, KY
National Provider Identifier
1104596261
Registry record updated Sep 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
287907 Issued in KY
Practice address
1013 Granite Dr
Bardstown, KY 40004-2013
Phone
(502) 349-3100
Fax
(502) 349-3169
NPI assigned
Sep 20, 2021
Last updated
Sep 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 287907 KY Primary

Addresses

Primary practice location

1013 Granite Dr
Bardstown, KY 40004-2013

Mailing address

1013 Granite Dr
Bardstown, KY 40004-2013
Phone (502) 349-3100

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
I20240219002790 KY Practitioner - Mental Health Counselor 2860846243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Astra Behavioral Health LLCGroup PAC ID 0749406577, 35 clinicians

Practice addresses (Care Compare)

1013 Granite Dr
Bardstown, KY 40004-2013
Phone (502) 349-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Virtual Care Current Accepting new patients
Astra Recovery Centers, LLC Current Accepting new patients
Astra Behavioral Health LLC CurrentSince Jan 31, 2024 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 (270) 321-4480

4010 DuPont Cir
Ste 210
Louisville, KY 40207
Phone (502) 694-4820

162 S Buckman St
Shepherdsville, KY 40165
Phone (502) 215-8770

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "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

Sources for this page

Verify at the official NPI Registry.