Jackie Denise Lyons, LCDC 3

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

131083 Issued in OH

Practice address

2203 Fulton Ave
Cincinnati, OH 45206-2504

Phone

(513) 961-4663

Fax

(513) 961-4681

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jacqueline D Lyons Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1053822684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 FULTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062504",
            "telephone_number": "513-961-4663",
            "fax_number": "513-961-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 FULTON AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062504",
            "telephone_number": "513-961-4663",
            "fax_number": "513-961-4681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "JACKIE",
        "middle_name": "DENISE",
        "name_prefix": "Miss",
        "credential": "LCDC 3",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "131083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "LYONS",
            "middle_name": "D",
            "prefix": "MISS",
            "credential": "LCDC 3",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Kristine Lyon-Horne, MS
• Markenzie Lyon, PA-C
• Caroline Lyons, PHARMD.
• Haley Lyons
• Hannah Nicole Lyons, DO
• Makenize L Lyons
• Megan Maureen Lyons, PHARMD
• Rosalind Lafaye Lyons
• Sara Worcester Lyons, MD
• Shadae Mary Lyons

• Addiction (Substance Use Disorder) Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.