Keith Edward Lyon, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301001686 Issued in MI

Practice address

1451 E Lansing Dr
Suite 215
East Lansing, MI 48823-7785

Phone

(517) 332-2275

NPI assigned

Jan 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 26, 2015 through Jan 26, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Lyon Counseling Associates, P.C.

  • Marriage & Family Therapist
  • East Lansing, MI
  • NPI 1346398575
  NPD (past) Authorized official

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154479301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 E LANSING DR",
            "address_2": "SUITE 215",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237785",
            "telephone_number": "517-332-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 E LANSING DR",
            "address_2": "SUITE 215",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237785",
            "telephone_number": "517-332-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "KEITH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301001686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Lucker
• Cara Teresa Ludlow, MSW, LMSW
• Nichole Lundy, D.P.T
• Lyon Counseling Associates, P.C.
• Ann Forster Lyon, MSW
• M78 Services LLC
• Leslie Greene Macauley, MD
• David Mack, D.O.
• Emily Mack
• Katelynn Mack

• Clinical Psychologist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.