Active NPI
Lawrence Clay Underwood, LPCC, CADC
- Professional Counselor
- Somerset, KY
National Provider Identifier
1356681571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- KY-1374
- Practice address
- 149 Enterprise Dr
Somerset, KY 42501 - Phone
- (606) 679-6995
- NPI assigned
- Feb 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | KY-0390 | KY | |
| Professional Counselor | 101YP2500X | KY-1374 | KY | Primary |
Addresses
Primary practice location
149 Enterprise Dr
Somerset, KY 42501
Mailing address
149 Enterprise Dr
Somerset, KY 42501-6155
Phone (606) 679-6995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| KY-0390 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| KY-1374 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Lining Counseling and Mediation, LLC | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- Georgetown, KY
- NPI 1790361962
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535500800000",
"number": "1356681571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 ENTERPRISE DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425016155",
"telephone_number": "606-679-6995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 ENTERPRISE DR",
"city": "SOMERSET",
"state": "KY",
"postal_code": "42501",
"telephone_number": "606-679-6995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNDERWOOD",
"first_name": "LAWRENCE",
"middle_name": "CLAY",
"name_prefix": "Mr.",
"credential": "LPCC, CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-25",
"last_updated": "2018-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "KY-0390",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "KY-1374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Somerset, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.