Individual provider Active NPI

Mary Ann Lyons, L.M.F.T., CMHS

  • Marriage & Family Therapist
  • Shoreline, WA
National Provider Identifier
1033280714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00000993 Issued in WA
Practice address
17544 Midvale Ave N
Suite 206
Shoreline, WA 98133-4921
Phone
(206) 240-9490
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00000993 WA Primary

Addresses

Primary practice location

17544 Midvale Ave N
Suite 206
Shoreline, WA 98133-4921

Mailing address

1429 227TH PL SW
Bothell, WA 98021-9453
Phone (425) 488-3882

Medicare participation

Medicare enrollment files
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31564CAMDClinical Psychologist
LF00000993WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033280714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 227TH PL SW",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219453",
            "telephone_number": "425-488-3882",
            "fax_number": "425-482-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17544 MIDVALE AVE N",
            "address_2": "SUITE 206",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981334921",
            "telephone_number": "206-240-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MARY ANN",
        "name_prefix": "Ms.",
        "credential": "L.M.F.T., CMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00000993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.