Lisa Lyon
Individual provider Active NPI Mental Health Counselor · Burlington, CT
NPI 1306048137 · NPPES record last updated Nov 21, 2024
Key facts
- NPI
- 1306048137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 004147 (CT)
- Practice address
- 190 George Washington Tpke
Burlington, CT 06013-2415 - Phone
- (860) 748-3980
- NPI assigned
- Jun 4, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004147 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Callum Counseling, LLC | Current |
Accepting new patients | |
| Counseling Center of Waterbury | Past | Accepting new patients |
Locations
258 Spielman Hwy
Ste 3
Burlington, CT 06013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004147 | CT | Yes |
Addresses
Primary practice location
190 George Washington Tpke
Burlington, CT 06013-2415
Mailing address
190 George Washington Tpke
Burlington, CT 06013-2415
Other providers in Burlington, CT
- Brittany Kolitsidas
- Kathryn Krawiec-Suckley
- Elizabeth Krynicki
- Solomon D. Leonard Jr.
- Kara A Lynch
- Sarah Mackiewicz
- Laurah Jean Michaels
- Mindful Healing, PLC
- Modern Chiropractic, LLC
- MW Psychiatry LLC
All providers in Burlington, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.