Active NPI
Penney O'Donnell Lyons, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1265843882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12160
- Practice address
- 3560 Cardinal Point Dr Ste 204
Jacksonville, FL 32257-9238 - Phone
- (904) 737-7242
- Fax
- (904) 737-7254
- NPI assigned
- May 16, 2014
- Last updated
- May 16, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12160 | FL | Primary |
Addresses
Primary practice location
3560 Cardinal Point Dr Ste 204
Jacksonville, FL 32257-9238
Mailing address
3560 Cardinal Point Dr Ste 204
Jacksonville, FL 32257-9238
Phone (904) 737-7242
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 |
|---|---|---|---|
| MH12160 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacksonville Center for Counseling, Inc. | Mental Health | Past | Accepting new patients |
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": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400198400000",
"number": "1265843882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3560 CARDINAL POINT DR STE 204",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322579238",
"telephone_number": "904-737-7242",
"fax_number": "904-737-7254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3560 CARDINAL POINT DR STE 204",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322579238",
"telephone_number": "904-737-7242",
"fax_number": "904-737-7254"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL LYONS",
"first_name": "PENNEY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2014-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.