Kyra Tuley, LCSW, TCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

257847 Issued in KY

Practice address

5966 Scottsville Rd
Bowling Green, KY 42104-0387

Phone

(270) 904-5104

Fax

(270) 201-5980

NPI assigned

Feb 25, 2021

Last updated

Jul 14, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• KW Consulting, LLC

  dba Fuller Life Counseling

  • Mental Health Counselor
  • Bowling Green, KY
  • NPI 1679127781
  NPD
• Dove Healing Center LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1346950557
  NPD (past)
• Journeypure Bowling Green LLC

  • Substance Abuse Rehabilitation Facility
  • Bowling Green, KY
  • NPI 1093186538
  NPD (past)
• Journeypure Kentucky Medical Group LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Bowling Green, KY
  • NPI 1215470224
  NPD (past)

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1972197432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 STARK ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 SCOTTSVILLE RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421040387",
            "telephone_number": "270-904-5104",
            "fax_number": "270-201-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULEY",
        "first_name": "KYRA",
        "credential": "LCSW, TCADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257847",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "8794",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Tseng, DMD
• Tina Michelle Tuck-Roche, RT
• Lauren Elizabeth Tuck, PHARMD
• Joseph Clay Tucker, O.D.
• Noel Marie Tucker, BA
• Tullio Emanuele MD, PSC
• Cassandra Jo Tumanis, RN
• Katherine Tunstill, LCSW
• Leslie Susan Turci, LMFT
• Hannah Jo Turner, LPA

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, 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 Jul 14, 2023; 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.