Active NPI
Shawn David Lyman, LAMFT
- Marriage & Family Therapist
- Russellville, AR
National Provider Identifier
1134839673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F2211001
- Practice address
- 2621 W Main St Ste 5
Russellville, AR 72801-2551 - Phone
- (479) 595-0333
- Fax
- (888) 816-7916
- NPI assigned
- Nov 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F2211001 | AR | Primary |
Addresses
Primary practice location
2621 W Main St Ste 5
Russellville, AR 72801-2551
Mailing address
2621 W Main St Ste 5
Russellville, AR 72801-2551
Phone (479) 595-0333
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
| License | State | Type | Specialty |
|---|---|---|---|
| F2211001 | AR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1134839673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 W MAIN ST STE 5",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012551",
"telephone_number": "479-595-0333",
"fax_number": "888-816-7916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2621 W MAIN ST STE 5",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728012551",
"telephone_number": "479-595-0333",
"fax_number": "888-816-7916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYMAN",
"first_name": "SHAWN",
"middle_name": "DAVID",
"credential": "LAMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-23",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "AR",
"license": "F2211001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.