Timothy Patrick Lyons, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2002010895 Issued in MO

Practice address

1851 N Commerce Dr
Nixa, MO 65714-7603

Phone

(417) 833-8300

NPI assigned

Mar 2, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Safe Harbor Counseling Center

  • Psychologist
  • Springfield, MO
  • NPI 1164587002
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1396019717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5431 S AARON AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658102035",
            "telephone_number": "417-833-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 N COMMERCE DR",
            "city": "NIXA",
            "state": "MO",
            "postal_code": "657147603",
            "telephone_number": "417-833-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "TIMOTHY",
        "middle_name": "PATRICK",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2002010895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon L Locke, MS CCC SLP
• Ryan Addison Lollis, DNP
• Eve Lopez
• Siu Ping Luthy, M.D.
• Gregory Lloyd Lyford, MD
• M & W Medical Services, LLC
• M-Star Enterprises, Inc (J&W Medical Supply)
• Mac Dental
• Haven Macfee, PA-C
• Magnolia Lactation LLC

• Professional Counselor in Nixa, MO
• Providers in Nixa, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.