Organization Active NPI

Tier One Counseling Collective

  • Clinical Social Worker
  • Nicholasville, KY
National Provider Identifier
1336001072
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TIER ONE COUNSELING COLLECTIVE
Practice address
101 Wind Haven Dr Ste 202
Nicholasville, KY 40356-8036
Phone
(859) 203-8279
NPI assigned
Dec 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Misty Williams Kirby, MA, LCSWNPI 1558074849
Title
Owner
Phone
(859) 539-6078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

101 Wind Haven Dr Ste 202
Nicholasville, KY 40356-8036

Mailing address

4713 Matthew CT
Lexington, KY 40514-1453
Phone (859) 539-6078

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260323002269 KY Part B Supplier - Clinic/Group Practice 8325522881 Receives reassigned benefits from 1 practitioner
Practice locations: Nicholasville, KY

National Provider Directory

National Provider Directory

Locations

227 N Broadway St
Carlisle, KY 40311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1336001072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 MATTHEW CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405141453",
            "telephone_number": "859-539-6078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WIND HAVEN DR STE 202",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568036",
            "telephone_number": "859-203-8279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIER ONE COUNSELING COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "KIRBY",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-539-6078",
        "authorized_official_credential": "MA, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nicholasville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.