Individual provider Active NPI

Cindy M Slimak, LCSW-R

  • Psychiatric/Mental Health Nurse Practitioner
  • Morgantown, KY
National Provider Identifier
1699725259
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3006904 Issued in KY
Practice address
213 W. Ohio St.
Morgantown, KY 42261
Phone
(270) 526-2228
Fax
(270) 526-2218
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R045005 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3006904 KY Primary

Addresses

Primary practice location

213 W. Ohio St.
Morgantown, KY 42261

Mailing address

213 W. Ohio St.
Morgantown, KY 42261
Phone (270) 526-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R045005NYMDClinical Social Worker
3006904KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills, Inc. PastSince May 22, 2013 Accepting new patients
Family Options Inc Clinical PastSince Dec 18, 2019 Accepting new patients
Lifeskills, Inc. PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 3

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342656000000",
    "number": "1699725259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W. OHIO ST.",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "42261",
            "telephone_number": "270-526-2228",
            "fax_number": "270-526-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W. OHIO ST.",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "42261",
            "telephone_number": "270-526-2228",
            "fax_number": "270-526-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIMAK",
        "first_name": "CINDY",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2012-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R045005",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3006904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, KY

Sources for this page

Verify at the official NPI Registry.