Organization Active NPI

Lilyheart Integrative Counseling & Wellness, PLLC

  • Clinical Social Worker
  • Louisville, KY
National Provider Identifier
1891511648
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LILYHEART INTEGRATIVE COUNSELING & WELLNESS, PLLC
Practice address
608 Indian Ridge Rd
Louisville, KY 40207-1749
Phone
(502) 536-9280
NPI assigned
Nov 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Barbara Jeanne Martin, LCSWNPI 1457999377
Title
Registered Agent
Phone
(502) 536-9280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

608 Indian Ridge Rd
Louisville, KY 40207-1749

Mailing address

608 Indian Ridge Rd
Louisville, KY 40207-1749
Phone (502) 536-9280

Other practice location 1

758 Beechridge Rd
Frankfort, KY 40601-9689
Phone (502) 536-9280

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL EDI Health Information Exchange (HIE)
CONNECT URL barbara.martin.lcsw@gmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250221003189 KY Part B Supplier - Clinic/Group Practice 2264952167 Receives reassigned benefits from 1 practitioner
Practice locations: Louisville, KY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1891511648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 INDIAN RIDGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071749",
            "telephone_number": "502-536-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 INDIAN RIDGE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402071749",
            "telephone_number": "502-536-9280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "758 Beechridge Rd",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406019689",
            "country_code": "US",
            "telephone_number": "502-536-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LILYHEART INTEGRATIVE COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "502-536-9280",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EDI",
            "affiliation": "N",
            "endpointDescription": "EDI",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "608 Indian Ridge Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402071749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "barbara.martin.lcsw@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "608 Indian Ridge Rd",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402071749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.