Individual provider Active NPI

Lyndsay Rayna Tyra, LPCC

  • Mental Health Counselor
  • Lexington, KY
National Provider Identifier
1184592578
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
286371 Issued in KY
Practice address
168 E Reynolds Rd Ste 150
Lexington, KY 40517-1360
Phone
(859) 212-3180
NPI assigned
Oct 27, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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 286371 KY Primary

Addresses

Primary practice location

168 E Reynolds Rd Ste 150
Lexington, KY 40517-1360

Mailing address

205 Elm St Apt 1
Berea, KY 40403-1856

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20260625000887 KY Practitioner - Other (Non-Physician) 5092288696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

168 E Reynolds Rd
Suite 150
Lexington, KY 40517-1360

205 Elm St Apt
Suite 1
Berea, KY 40403-1856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
286371KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jason Muzzillo, PLLC CurrentSince Nov 8, 2025 Accepting new patients

Locations

75 Cavalier Blvd
Ste 310
Florence, KY 41042
Phone (859) 212-3180

168 E Reynolds Rd
Ste 150
Lexington, KY 40517
Phone (859) 212-3180

Organizations & group practices 1

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": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1184592578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ELM ST APT 1",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404031856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 E REYNOLDS RD STE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405171360",
            "telephone_number": "859-212-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRA",
        "first_name": "LYNDSAY",
        "middle_name": "RAYNA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "286371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.