Individual provider Active NPI

Peggy Lynne Myers, LISW-S

  • Social Worker
  • Columbus, OH
National Provider Identifier
1629377387
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
I.0005610-SUPV Issued in OH
Practice address
1890 Northwest Blvd
Columbus, OH 43212-1637
Phone
(614) 397-8926
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904010777 VA
Case Manager/Care Coordinator 171M00000X I0005610 OH
Social Worker 104100000X I.0005610-SUPV OH Primary

Addresses

Primary practice location

1890 Northwest Blvd
Columbus, OH 43212-1637

Mailing address

5559 Russell Fork Dr
Dublin, OH 43016-8326
Phone (614) 749-8086

Other practice location 1

2501 Hunter Pl Ste 202
Woodbridge, VA 22192-3940
Phone (571) 934-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170208001974 OH Practitioner - Clinical Social Worker 5193008548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0005610-SUPVOHMDSocial Worker
0904010777VAMDClinical Social Worker
I0005610OHMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

1890 Northwest Blvd
Ste 140
Columbus, OH 43212
Phone (614) 515-6291

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

2501 Hunter Pl
Ste 202
Woodbridge, VA 22192
Phone (304) 940-9724

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1629377387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5559 RUSSELL FORK DR",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168326",
            "telephone_number": "614-749-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 NORTHWEST BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432121637",
            "telephone_number": "614-397-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Hunter Pl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221923940",
            "country_code": "US",
            "telephone_number": "571-934-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MYERS",
        "first_name": "PEGGY",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904010777",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": "I0005610",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.0005610-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.