Individual provider Active NPI

Betty Lytle, LSW

  • Counselor
  • Pahrump, NV
National Provider Identifier
1851784441
Registry record updated Mar 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6212-S Issued in NV
Practice address
240 Humahuaca St
Pahrump, NV 89048-2199
Phone
(775) 751-7406
Fax
(775) 751-7409
NPI assigned
Mar 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6212-S NV Primary

Addresses

Primary practice location

240 Humahuaca St
Pahrump, NV 89048-2199

Mailing address

240 Humahuaca St
Pahrump, NV 89048-2199
Phone (775) 751-7406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: No
  • 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
I20180110002806 NV Practitioner - Clinical Social Worker 5698034015 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6212-SNVMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Nevada Current Accepting new patients
State of Nevada CurrentSince Jun 1, 2021 Accepting new patients
State of Nevada CurrentSince Jun 1, 2021 Accepting new patients
State of Nevada Past Accepting new patients
State of Nevada Past Accepting new patients

Locations

1665 Old Hot Springs Rd
Ste 150
Carson City, NV 89706
Phone (775) 687-0870

4150 Technology Way
Ste 100
Carson City, NV 89706

1825 Pinion Rd
Ste A
Elko, NV 89801
Phone (775) 738-8021

1675 Avenue F
Ely, NV 89301
Phone (775) 288-9167

141 Keddie St
Fallon, NV 89406
Phone (775) 423-7141

415 US Highway 95A S
Bldg 1
Fernley, NV 89408
Phone (775) 575-7744

1528 US Highway 395 N
Ste 100
Gardnerville, NV 89410
Phone (775) 687-2160

240 S Humahuaca St
Pahrump, NV 89048
Phone (775) 751-7406

475 W Haskell St
Winnemucca, NV 89445
Phone (775) 623-6580

215 W Bridge St
Ste 5
Yerington, NV 89447
Phone (775) 463-3191

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425600000000",
    "number": "1851784441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 HUMAHUACA ST",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482199",
            "telephone_number": "775-751-7406",
            "fax_number": "775-751-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HUMAHUACA ST",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482199",
            "telephone_number": "775-751-7406",
            "fax_number": "775-751-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYTLE",
        "first_name": "BETTY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2015-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "6212-S",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.