Individual provider Active NPI

Lyric Lynn Dold, LPC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1114173457
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3268125 Issued in WI
Practice address
330 S Whitney Way
Suite 303
Madison, WI 53705-4638
Phone
(608) 217-5802
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3268125 WI Primary

Addresses

Primary practice location

330 S Whitney Way
Suite 303
Madison, WI 53705-4638

Mailing address

5802 Baskerville Walk
Middleton, WI 53562-1902
Phone (608) 217-5802

Other identifiers 2

IdentifierTypeStateIssuer
3268125OtherWIDEPARTMENT OF REGULATION AND LICENSING
43571300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3268125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1114173457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5802 BASKERVILLE WALK",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535621902",
            "telephone_number": "608-217-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S WHITNEY WAY",
            "address_2": "SUITE 303",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537054638",
            "telephone_number": "608-217-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLD",
        "first_name": "LYRIC",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3268125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF REGULATION AND LICENSING",
            "identifier": "3268125",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43571300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.