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KATHY TILLERY LCSW
NPI 1992721773
Social Worker - Clinical in Somerset, KY

Active since July 14, 2006PECOS Enrolled
101 HARDIN LN, SOMERSET, KY 42503(606) 679-7348(606) 679-4097 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kathy Tillery Lcsw NPPES

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

KATHY TILLERY LCSW (NPI 1992721773) is an individual clinical provider in Somerset, Kentucky, licensed in Kentucky (798) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1992721773
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHY TILLERYCredential: LCSW
Location Address101 HARDIN LNSomerset, KY 42503-3814
Mailing Address259 Parkers Mill RdSomerset, KY 42501-3152 · (606) 678-4782 · Fax (606) 678-5296
Phone(606) 679-7348
Fax(606) 679-4097
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 14, 2006
Last NPPES UpdateOctober 22, 2007
✔ NPI 1992721773 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 · 798
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.
101 HARDIN LN, Somerset, KY 42503
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Other Identifiers 2

Medicare PIN0500705KY
Medicare PIN0500604KY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID1951472406
PECOS Enrollment IDI20080611000471
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 Kathy Tillery reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Safe Harbor Mental Health
3.9 mi
Adult Mental Health
33 JACKS LN
Somerset, KY 42501
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1679042279 (606) 679-0014

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 42503 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 5

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

CHRISTINA CASE
Case Manager/Care Coordinator
101 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 679-7348
PENNY MELGOZA LPCA
Counselor (Mental Health)
101 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 679-7348
SANDRA WILLIAMS
Counselor (Mental Health)
101 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 679-7348
MS. SALLY R. MCENROE ARNP
Nurse Practitioner (Psychiatric/Mental Health)
101 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 679-7348
APRIL STARNS
Case Manager/Care Coordinator
101 HARDIN LN
SOMERSET, KY 42503
Pulaski County (606) 679-7348

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 Kathy Tillery's NPI number?

The NPI number for Kathy Tillery is 1992721773. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Kathy Tillery located?

Kathy Tillery practices at 101 Hardin Ln, Somerset, KY 42503. The listed phone number is (606) 679-7348.

What is Kathy Tillery's specialty?

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

Is Kathy Tillery enrolled in Medicare?

Yes. Kathy Tillery is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kathy Tillery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Tillery reassigns Medicare benefits to Safe Harbor Mental Health (Somerset, 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 Kathy Tillery'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 Kathy Tillery was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.