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LILY REVENA SUMNER-BURNS LCSW
NPI 1487309449
Social Worker - Clinical in Richmond, KY

Active since February 18, 2022PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1043 CENTER DR, RICHMOND, KY 40475(859) 314-1281(859) 353-8032 Get Directions Write a Review

NPPES record last updated: December 29, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 25, 2022, May 13, 2022, Feb 18, 2022 (3 updates tracked since 2022).

About Lily Revena Sumner-burns Lcsw NPPES

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

LILY REVENA SUMNER-BURNS LCSW (NPI 1487309449) is an individual clinical provider in Richmond, Kentucky, licensed in Kentucky (256412) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1487309449
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLILY REVENA SUMNER-BURNSCredential: LCSW
Location Address1043 CENTER DRRichmond, KY 40475-3838
Mailing Address115 Rockwood LnHazard, KY 41701-9415 · (606) 436-5761 · Fax (606) 436-5797
Phone(859) 314-1281
Fax(859) 353-8032
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateFebruary 18, 2022
Last NPPES UpdateDecember 29, 20233 updates tracked since enumeration
NPPES CertifiedDecember 29, 2023
✔ NPI 1487309449 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 · 256412
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.
1043 CENTER DR, Richmond, KY 40475
Open in Google Maps ↗

Secondary Practice Locations 2

Location 13476 Hwy 80 WEmmalena, KY 41740-8854 · Phone (606) 436-5761 ext. 7220 · Fax (606) 436-5797
Location 2115 Rockwood LnHazard, KY 41701-9415 · Phone (606) 436-5761 ext. 7220 · Fax (606) 436-5797

Other Identifiers 2

MedicaidPENDINGKY
Medicaid7100798520KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lily Revena Sumner-burns Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496123358
PECOS Enrollment IDI20221126000093
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 Lily Sumner-burns reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital, Inc.
25 mi
Rural Health
241 MAIN ST S
Mckee, KY 40447
NPI 1023649514 (606) 287-3444

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 40475 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

POLLY CRAIG LPCC
Counselor
1043 CENTER DR
RICHMOND, KY 40475
Madison County (859) 338-0466
FRANKLIN SIBERT LCSW
Social Worker (Clinical)
1043 CENTER DR
RICHMOND, KY 40475
Madison County (606) 813-3880
MS. KIMBERLY STEVENS MSW / LCSW
Social Worker (Clinical)
1043 CENTER DR
RICHMOND, KY 40475
Madison County (606) 548-0264
CHRANSYE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1043 CENTER DR
RICHMOND, KY 40475
Madison County (859) 626-1042
MRS. MELISSA B AUSTIN M.A., LPCC
Counselor (Professional)
1043 CENTER DR
RICHMOND, KY 40475
Madison County (859) 314-1281
VICTORIA SIMS LPCA
Counselor (Mental Health)
1043 CENTER DR
RICHMOND, KY 40475
Madison County (859) 433-6233
MRS. KAYLA PUTTON BOWLING APRN
Nurse Practitioner (Psychiatric/Mental Health)
1043 CENTER DR
RICHMOND, KY 40475
Madison County (859) 338-0466

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 Lily Sumner-burns's NPI number?

The NPI number for Lily Sumner-burns is 1487309449. It was assigned to this individual provider in the NPPES registry on February 18, 2022.

Where is Lily Sumner-burns located?

Lily Sumner-burns practices at 1043 Center Dr, Richmond, KY 40475. The listed phone number is (859) 314-1281.

What is Lily Sumner-burns's specialty?

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

Is Lily Sumner-burns enrolled in Medicare?

Yes. Lily Sumner-burns is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lily Sumner-burns's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lily Sumner-burns reassigns Medicare benefits to Memorial Hospital, Inc. (Mckee, 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 Lily Sumner-burns's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lily Sumner-burns accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Lily Sumner-burns as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lily Sumner-burns was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.