Individual provider Active NPI

Zoe Lyon-Goldman, LCSW

  • Mental Health Counselor
  • Port Orange, FL
National Provider Identifier
1104342062
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3959 S Nova Rd Ste 12
Port Orange, FL 32127-4900
Phone
(386) 227-6590
NPI assigned
Aug 22, 2017
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

3959 S Nova Rd Ste 12
Port Orange, FL 32127-4900

Mailing address

3959 S Nova Rd Ste 12
Port Orange, FL 32127-4900
Phone (386) 227-6590

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000052 FL Practitioner - Clinical Social Worker 7911448998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patricia Adams Counseling, LLCGroup PAC ID 4284955527, 6 clinicians

Practice addresses (Care Compare)

900 N Swallow Tail Dr
Suite 105
Port Orange, FL 32129-6103
Phone (386) 333-9717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia Adams Counseling, LLC Mental Health CurrentSince Aug 12, 2024 Accepting new patients
ZLG Counseling, LLC Mental Health CurrentSince Jan 19, 2026 Accepting new patients

Locations

3959 S Nova Rd
Ste 12
Port Orange, FL 32127
Phone (386) 227-6105

900 N Swallow Tail Dr
Ste 105
Port Orange, FL 32129
Phone (386) 333-9717

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1104342062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE 12",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274900",
            "telephone_number": "386-227-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 S NOVA RD STE 12",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274900",
            "telephone_number": "386-227-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON-GOLDMAN",
        "first_name": "ZOE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-22",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.