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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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 (35 clinicians)

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

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Astra Behavioral Health LLC Current
since Jan 31, 2024
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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 15, 2023.

{
    "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

All providers in Bardstown, KY · Professional Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.