Active NPI
Lonnie Lyles, LCSW
- Clinical Social Worker
- Owensboro, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3849
- Practice address
- 1401 -C Spring Bank Dr Ste 6
Owensboro, KY 42303 - Phone
- (270) 791-8550
- NPI assigned
- Jun 7, 2011
- 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 | 1036 | KY | |
| Clinical Social Worker | 1041C0700X | 3849 | KY | Primary |
Addresses
Primary practice location
1401 -C Spring Bank Dr Ste 6
Owensboro, KY 42303
Mailing address
1401 Spring Bank Dr Ste 6C
Owensboro, KY 42303-7553
Phone (270) 791-8550
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160331002702 | KY | Practitioner - Clinical Social Worker | 0345547659 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Counseling Connections LLC
Practice addresses (Care Compare)
1326 W 9TH St
Owensboro, KY 42301-2028
Phone (270) 240-1076
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1036 | KY | MD | Professional Counselor |
| 3849 | KY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leap LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Counseling Connections, LLC | Clinical | Current | Accepting new patients |
Locations
1858 Triplett St
Owensboro, KY 42303
Phone (270) 414-0145
1401 Spring Bank Dr
Ste 1
Owensboro, KY 42303
Phone (270) 240-1076
1326 W 9th St
Owensboro, KY 42301
Phone (270) 240-1076
Organizations & group practices 2
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": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1598059552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SPRING BANK DR STE 6C",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423037553",
"telephone_number": "270-791-8550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 -C SPRING BANK DR STE 6",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "42303",
"telephone_number": "270-791-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLES",
"first_name": "LONNIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "1036",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.