Active NPI
Michael Morykon, LPC LMFT
- Counselor
- Lynchburg, VA
National Provider Identifier
1386933786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701001862
- Practice address
- 2811 Linkhorne Dr
Suite B
Lynchburg, VA 24503-3353 - Phone
- (434) 384-1594
- Fax
- (434) 384-3228
- NPI assigned
- Apr 6, 2011
- 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 | 0701001862 | VA | Primary |
| Marriage & Family Therapist | 106H00000X | 0717000148 | VA |
Addresses
Primary practice location
2811 Linkhorne Dr
Suite B
Lynchburg, VA 24503-3353
Mailing address
2811 Linkhorne Dr
Suite B
Lynchburg, VA 24503-3353
Phone (434) 384-1594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005406544 | Medicaid | VA |
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 |
|---|---|---|---|
| 0701001862 | VA | MD | Counselor |
| 0717000148 | VA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Light Counseling, Inc. | Marriage & Family Therapist | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1386933786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2811 LINKHORNE DR",
"address_2": "SUITE B",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245033353",
"telephone_number": "434-384-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 LINKHORNE DR",
"address_2": "SUITE B",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245033353",
"telephone_number": "434-384-1594",
"fax_number": "434-384-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORYKON",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LPC LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-06",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701001862",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "0717000148",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005406544",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lynchburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.