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MICHAEL S LILLY LPC
NPI 1730642331
Counselor - Professional in Big Stone Gap, VA

Active since April 10, 2019PECOS Enrolled
43 CHAMPIONS AVE, BIG STONE GAP, VA 24219(276) 523-8300(423) 467-3644 Get Directions Write a Review

NPPES record last updated: April 10, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael S Lilly Lpc NPPES

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

MICHAEL S LILLY LPC (NPI 1730642331) is an individual professional provider in Big Stone Gap, Virginia, licensed in Virginia (0701008234) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730642331
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL S LILLYCredential: LPC
Location Address43 CHAMPIONS AVEBig Stone Gap, VA 24219-1105
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Phone(276) 523-8300
Fax(423) 467-3644
Sole ProprietorYes
Enumeration DateApril 10, 2019
✔ NPI 1730642331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701008234
43 CHAMPIONS AVE, Big Stone Gap, VA 24219
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael S Lilly Lpc 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.

Other Providers at the Same Location NPPES 16

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

CHERI ANN MEADOWLARK MA, LMFT
Marriage & Family Therapist
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
WHITNEY B TRINKLE MED
Counselor (Mental Health)
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
WISE COUNTY INTEGRATED CARE
Clinic/Center (Primary Care)
43 CHAMPIONS AVE, SUITE 1
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
ELIZABETH K DAVENPORT LCSW
Social Worker (Clinical)
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
CRYSTAL G SLUSS LPC
Counselor (Professional)
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-0682
MARY CHRYSTAL DIETS
Case Manager/Care Coordinator
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300
FRONTIER HEALTH
Clinic/Center (Mental Health (Including Community Mental Health Center))
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 245-5001
TERESA BEVERLY LPN
Licensed Practical Nurse
43 CHAMPIONS AVE
BIG STONE GAP, VA 24219
Wise County (276) 523-8300

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 Michael Lilly's NPI number?

The NPI number for Michael Lilly is 1730642331. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Michael Lilly located?

Michael Lilly practices at 43 Champions Ave, Big Stone Gap, VA 24219. The listed phone number is (276) 523-8300.

What is Michael Lilly's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Michael Lilly enrolled in Medicare?

Yes. Michael Lilly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Lilly was last updated on April 10, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.