Individual provider Active NPI

Heather Lyons, PH.D.

  • Counseling Psychologist
  • Towson, MD
National Provider Identifier
1134398175
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
04163 Issued in MD
Practice address
1122 Kenilworth Dr Ste 416
Towson, MD 21204
Phone
(443) 451-5122
NPI assigned
Feb 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 04163 MD Primary

Addresses

Primary practice location

1122 Kenilworth Dr Ste 416
Towson, MD 21204

Mailing address

1122 Kenilworth Dr Ste 416
Towson, MD 21204-2148
Phone (443) 451-5122

Other practice location 1

608 Bosley Ave
Towson, MD 21204-4029
Phone (443) 451-5122

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
04163MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Emporium LLC Counseling Current Accepting new patients
Heather Z. Lyons, Licensed Psychologist, LLC Counseling CurrentSince Nov 28, 2021 Accepting new patients
Heather Z. Lyons, Licensed Psychologist, LLC Counseling Current Accepting new patients

Locations

608 Bosley Ave
Towson, MD 21204
Phone (410) 409-9175

1122 Kenilworth Dr
Ste 416
Towson, MD 21204
Phone (443) 451-5122

Organizations & group practices 4

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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1134398175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 416",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042148",
            "telephone_number": "443-451-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 KENILWORTH DR STE 416",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "21204",
            "telephone_number": "443-451-5122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "608 Bosley Ave",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212044029",
            "country_code": "US",
            "telephone_number": "443-451-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-25",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MD",
            "license": "04163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; 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.