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KEVIN WILLOUGHBY LCSW
NPI 1093825473
Social Worker - Clinical in Bowling Green, KY

Active since August 30, 2006PECOS Enrolled
380 SUWANNEE TRAIL STREET, BOWLING GREEN, KY 42103(270) 901-5000(270) 842-6553 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kevin Willoughby Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEVIN WILLOUGHBY LCSW (NPI 1093825473) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (1276) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093825473
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEVIN WILLOUGHBYCredential: LCSW
Location Address380 SUWANNEE TRAIL STREETBowling Green, KY 42103
Mailing Address238 Cumberland CirBowling Green, KY 42103-9008 · (270) 901-5000 · Fax (270) 842-5268
Phone(270) 901-5000
Fax(270) 842-6553
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateNovember 26, 2024
NPPES CertifiedNovember 26, 2024
✔ NPI 1093825473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 1276
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
380 SUWANNEE TRAIL STREET, Bowling Green, KY 42103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Willoughby Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kevin Willoughby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lifeskills, Inc.
Same address
Community/Behavioral Health
380 SUWANNEE TRAIL ST
Bowling Green, KY 42103
  • Reassigned Medicare billing, Kentucky enrollment
  • 91 clinicians in this Medicare group
NPI 1669401816 (270) 901-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN T GARRITY LPCC, LCADC
Counselor (Professional)
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
DR. JOSE ELAVATH PAUL MD
Psychiatry & Neurology (Psychiatry)
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
SANDY PARSONS
Case Manager/Care Coordinator
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
JANET WITHROW
Counselor
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
MR. EDWIN A. HANNA LCSW
Social Worker (Clinical)
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
DR. JOHN SIVLEY LCSW
Social Worker (Clinical)
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
EMILY PANNELL LPCC
Counselor (Professional)
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000
SUSAN BROWN LCSW
Social Worker (Clinical)
380 SUWANNEE TRAIL STREET
BOWLING GREEN, KY 42103
Warren County (270) 901-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Willoughby's NPI number?

The NPI number for Kevin Willoughby is 1093825473. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Kevin Willoughby located?

Kevin Willoughby practices at 380 Suwannee Trail Street, Bowling Green, KY 42103. The listed phone number is (270) 901-5000.

What is Kevin Willoughby's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kevin Willoughby enrolled in Medicare?

Yes. Kevin Willoughby is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kevin Willoughby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Willoughby reassigns Medicare benefits to Lifeskills, Inc. (Bowling Green, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Willoughby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kevin Willoughby was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.