Active NPI
Charles L Lyles, LPC
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1356575260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62807
- Practice address
- 1001 S Polk St
Amarillo, TX 79101-3407 - Phone
- (806) 342-2500
- Fax
- (806) 372-2433
- NPI assigned
- May 6, 2009
- Last updated
- May 6, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 62807 | TX | |
| Professional Counselor | 101YP2500X | 62807 | TX | Primary |
Addresses
Primary practice location
1001 S Polk St
Amarillo, TX 79101-3407
Mailing address
1001 S Polk St
Amarillo, TX 79101-3407
Phone (806) 342-2500
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 |
|---|---|---|---|
| 62807 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Support Services of Amarillo | Counselor | 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.
-
dba Family Support Services
- Clinical Social Worker
- Amarillo, TX
- NPI 1669404083
Counselor
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1356575260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S POLK ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791013407",
"telephone_number": "806-342-2500",
"fax_number": "806-372-2433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S POLK ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791013407",
"telephone_number": "806-342-2500",
"fax_number": "806-372-2433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLES",
"first_name": "CHARLES",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-06",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "62807",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.