Organization Active NPI

Allyson Blythe, LLC

  • Clinical Social Worker
  • Florence, KY
National Provider Identifier
1356677033
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALLYSON BLYTHE, LLC
Practice address
7430 US Highway 42 Ste 217
Florence, KY 41042-1992
Phone
(859) 341-7773
Fax
(859) 341-0376
NPI assigned
Oct 30, 2009
Last updated
Feb 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Authorized official

Name
Ms. Allyson R Blythe, LCSWNPI 1497816243
Title
Owner
Phone
(859) 341-7773

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary
Community/Behavioral Health Agency 251S00000X 1304 KY

Addresses

Primary practice location

7430 US Highway 42 Ste 217
Florence, KY 41042-1992

Mailing address

7430 US Highway 42 Ste 217
Florence, KY 41042-1992
Phone (859) 341-7773

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100121000586 KY Part B Supplier - Clinic/Group Practice 2567504061 Receives reassigned benefits from 1 practitioner
Practice locations: Florence, KY

National Provider Directory

National Provider Directory

Locations

543 Terry Ln
Crescent Springs, KY 41017

543 Terry Ln
Unit 2
Crescent Springs, KY 41017
Phone (859) 331-1796

7430 US Highway 42
Ste 217
Florence, KY 41042
Phone (859) 341-7773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1256860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1356677033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 US HIGHWAY 42 STE 217",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421992",
            "telephone_number": "859-341-7773",
            "fax_number": "859-341-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 US HIGHWAY 42 STE 217",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410421992",
            "telephone_number": "859-341-7773",
            "fax_number": "859-341-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLYSON BLYTHE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "BLYTHE",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "859-341-7773",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "1304",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.