Individual provider Active NPI

Kasondra Glynn Lewis, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • London, KY
National Provider Identifier
1285232371
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4027957 Issued in KY
Practice address
125 S Laurel Rd Ste 1
London, KY 40744-8300
Phone
(606) 770-5086
Fax
(863) 456-1301
NPI assigned
Oct 12, 2020
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1158287 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4027957 KY Primary

Addresses

Primary practice location

125 S Laurel Rd Ste 1
London, KY 40744-8300

Mailing address

125 S Laurel Rd
London, KY 40744-8300
Phone (606) 770-5086

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250910004559 KY Practitioner - Nurse Practitioner 0042713695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartstrings Mental Health PLLCGroup PAC ID 3779018858, 8 clinicians

Practice addresses (Care Compare)

125 S Laurel Rd
Suite 1
London, KY 40744-8501
Phone (606) 770-5086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4027957KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartstrings Mental Health PLLC Psychiatric/Mental Health CurrentSince Jul 1, 2025 Accepting new patients
Cumberland River Behavioral Health, Inc PastSince Oct 1, 2020 Accepting new patients
Kentucky Family Psychiatry, PLLC Psychiatric/Mental Health PastSince Sep 1, 2024 Accepting new patients

Locations

95 S Laurel Rd
Ste 1
London, KY 40744
Phone (606) 401-1905

125 S Laurel Rd
Unit 1
London, KY 40744
Phone (606) 401-0751

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": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1285232371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S LAUREL RD",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448300",
            "telephone_number": "606-770-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S LAUREL RD STE 1",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407448300",
            "telephone_number": "606-770-5086",
            "fax_number": "863-456-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "KASONDRA",
        "middle_name": "GLYNN",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1158287",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4027957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, KY

Sources for this page

Verify at the official NPI Registry.