Lyssa Bayne-Kim, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1992 Issued in NH

Practice address

326 Rochester Hill Rd
Rochester, NH 03867-1700

Phone

(603) 948-1230

Fax

(603) 948-1097

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 6, 2025 through Jan 6, 2027

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Infinite Connection Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newington, NH
  • NPI 1588172076
  NPD Authorized official
• Hope on Haven Hill, Inc

  • Substance Abuse Rehabilitation Facility
  • Rochester, NH
  • NPI 1174070080
  NPD (past)

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1801327127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038671700",
            "telephone_number": "603-948-1230",
            "fax_number": "603-948-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ROCHESTER HILL RD",
            "city": "ROCHESTER",
            "state": "NH",
            "postal_code": "038671700",
            "telephone_number": "603-948-1230",
            "fax_number": "603-948-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYNE-KIM",
        "first_name": "LYSSA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Junnel Balofinos Balofinos, MD
• Deanna Bame
• Melissa Barbour, LADC
• Barrington Physical Therapy, LLC
• Mary Elizabeth Bashaw, PT, DPT
• BDR Recovery Holdings 11 Lincoln LLC
• Nancy Beal
• Angela C Bean, RPH CDM
• Nadine Amr Bedair, DMD
• Alyssa Beecher, LCMHC

• Clinical Social Worker in Rochester, NH
• Providers in Rochester, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.