Individual provider Active NPI

Ashley Nicole Lyssy, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1295500643
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
66800 Issued in TX
Practice address
17206 Blanco Rd BLDG 2
San Antonio, TX 78232-2816
Phone
(210) 209-0642
Fax
(855) 357-8282
NPI assigned
Nov 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 66800 TX Primary

Addresses

Primary practice location

17206 Blanco Rd BLDG 2
San Antonio, TX 78232-2816

Mailing address

17206 Blanco Rd BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231209000713 TX Practitioner - Clinical Social Worker 7810346343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling4Life, LLCGroup PAC ID 5496163511, 15 clinicians
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

17206 Blanco Rd
BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642

551 S I-35 Frontage Rd
Suite 200
Round Rock, TX 78664
Phone (888) 374-5066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Sep 6, 2025 Accepting new patients
Family Care Center LLC, CurrentSince Sep 6, 2025 Accepting new patients
Stephanie a Richards LPC, PLLC CurrentSince Mar 12, 2024 Accepting new patients
Counseling4Life, LLC Clinical CurrentSince Nov 30, 2023 Accepting new patients
Goodmindrx PastSince Aug 4, 2024 Accepting new patients

Locations

3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779

551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314

17206 Blanco Rd
Ste 2101
San Antonio, TX 78232
Phone (210) 209-0642

17206 Blanco Rd
Bldg 2
San Antonio, TX 78232
Phone (210) 209-0642

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1295500643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17206 BLANCO RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322816",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17206 BLANCO RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322816",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSSY",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "66800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.