Individual provider Active NPI

Lisa Ann Salyer

  • Clinical Social Worker
  • Bowling Green, KY
National Provider Identifier
1811568082
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255692 Issued in KY
Practice address
310 E Main Ave Ste 202
Bowling Green, KY 42101-2143
Phone
(855) 284-7483
Fax
(617) 807-0958
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255692 KY Primary

Addresses

Primary practice location

310 E Main Ave Ste 202
Bowling Green, KY 42101-2143

Mailing address

1000 Jefferson St Ste 2C
Lynchburg, VA 24504-1724
Phone (855) 284-7483

Other practice location 1

838 E Mountain Pkwy
Salyersville, KY 41465-8378
Phone (606) 349-7475

Other identifiers 1

IdentifierTypeStateIssuer
7100779560MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211104000733 KY Practitioner - Clinical Social Worker 6709274160 Reassigns benefits to 2 organizations
I20220103001871 GA Practitioner - Clinical Social Worker 6709274160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1800 Lake Park Dr SE
Suite 123
Smyrna, GA 30080-7639
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
255692KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriveworks Kentucky - Clinical CurrentSince Jul 1, 2022 Accepting new patients
Big Sandy Health Care Inc CurrentSince Jul 18, 2022 Accepting new patients
Big Sandy Health Care, Inc CurrentSince Jul 18, 2022 Accepting new patients
Thrive Counseling LLC CurrentSince Dec 5, 2021 Accepting new patients
Big Sandy Health Care, Inc Current Accepting new patients

Locations

8800 Roswell Rd
Ste A135
Sandy Springs, GA 30350
Phone (617) 395-5806

1800 Lake Park Dr SE
Ste 123
Smyrna, GA 30080
Phone (404) 720-9800

310 E Main Ave
Ste 202
Bowling Green, KY 42101

7617 Ky Route 979
Grethel, KY 41631
Phone (606) 587-2200

137 Holly Bush Dr
Inez, KY 41224
Phone (606) 263-6500

5000 Elementary Dr
Inez, KY 41224
Phone (606) 263-6500

179 Eden Ln
Inez, KY 41224
Phone (606) 263-6500

6500 Highway 645
Ste 110
Inez, KY 41224
Phone (606) 298-3412

120 Prosperous Pl
Ste 2017
Lexington, KY 40509

120 Prosperous Pl
Ste 2
Lexington, KY 40509

120 Prosperous Pl
Ste 207
Lexington, KY 40509
Phone (502) 735-1924

1709 Ky Route 321
Ste 3
Prestonsburg, KY 41653
Phone (606) 886-8546

33 Warfield Elementary Loop
Warfield, KY 41267
Phone (606) 263-6500

130 Middle School Dr
Warfield, KY 41267
Phone (606) 263-6500

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

Organizations & group practices 5

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1811568082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JEFFERSON ST STE 2C",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041724",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E MAIN AVE STE 202",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012143",
            "telephone_number": "855-284-7483",
            "fax_number": "617-807-0958"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 E Mountain Pkwy",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658378",
            "country_code": "US",
            "telephone_number": "606-349-7475",
            "fax_number": "606-349-7476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALYER",
        "first_name": "LISA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100779560",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.