Jimmy Dean Salyers Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

258549 Issued in KY

Practice address

1841 Peartree LN
Hopkinsville, KY 42240-4460

Phone

(270) 569-0121

NPI assigned

May 19, 2022

Last updated

May 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CBBGDD/Endpoint/CBBGDD
• FHIR API: https://fhir4.healow.com/fhir/r4/IDEHDD/Endpoint/IDEHDD

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.

• Paintsville Behavioral Health, Inc

  • Psychiatric/Mental Health Registered Nurse
  • Paintsville, KY
  • NPI 1083355424
  Medicare reassignment NPD
• Paintsville Behavioral Health, Inc

  dba PBH: Hopkinsville

  • Clinical Social Worker
  • Hopkinsville, KY
  • NPI 1861260788
  NPD
• Kentucky Addiction Centers Paintsville, LLC

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1922684307

  Addiction (Substance Use Disorder)

  NPD (past)
• New Age Vitality Clinic LLC

  • Family Medicine Physician
  • Paintsville, KY
  • NPI 1700251626
  NPD (past)

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1710624820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 542",
            "city": "PAINTSVILLE",
            "state": "KY",
            "postal_code": "412400542",
            "telephone_number": "606-372-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 PEARTREE LN",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422404460",
            "telephone_number": "270-569-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1825 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412408651",
            "country_code": "US",
            "telephone_number": "606-372-6020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALYERS",
        "first_name": "JIMMY",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "258549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100821660",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF SOCIAL WORK KY",
            "identifier": "258549",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dianna Deen Russell, PMHNP-BC
• S&R Enterprises Inc. (Brookfield Manor)
• Lugene Sadler, MS, CCC-SLP
• Aaron Foster Sage
• Emily Hurd Saldana, PAC
• Leticia E Sanders
• Rachel Sanders
• Bianca Yari Santiago, PHARM D
• Christan Santiago
• Alexis Saunders, CRNA

• Clinical Social Worker in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.