Active NPI
Winston Raymond Lyford, M.ED
- Mental Health Counselor
- Fall River, MA
National Provider Identifier
1356497382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4551
- Practice address
- 795 Middle St
Fall River, MA 02721-1733 - Phone
- (508) 674-5600
- Fax
- (508) 235-5053
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- 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 | 4551 | MA | Primary |
Addresses
Primary practice location
795 Middle St
Fall River, MA 02721-1733
Mailing address
111 Smith St
Cranston, RI 02905-4218
Phone (401) 461-3518
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4551 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356497382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 SMITH ST",
"city": "CRANSTON",
"state": "RI",
"postal_code": "029054218",
"telephone_number": "401-461-3518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 MIDDLE ST",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027211733",
"telephone_number": "508-674-5600",
"fax_number": "508-235-5053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYFORD",
"first_name": "WINSTON",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.