Individual provider Active NPI

Patricia J Lyon, MA

  • Mental Health Counselor
  • Mill Creek, WA
National Provider Identifier
1396090080
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60867944 Issued in WA
Practice address
16000 Bothell Everett Hwy Ste 200
Mill Creek, WA 98012-1796
Phone
(425) 736-7478
NPI assigned
Jul 18, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60867944 WA Primary
Mental Health Counselor 101YM0800X CP6369-R NV

Addresses

Primary practice location

16000 Bothell Everett Hwy Ste 200
Mill Creek, WA 98012-1796

Mailing address

12726 NE 116TH LN Apt E5
Kirkland, WA 98034-8433
Phone (425) 736-7478

Other practice location 1

8195 166th Ave NE Ste 204
Redmond, WA 98052-3960
Phone (425) 736-7478

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 20, 2024 through Feb 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60230092WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1396090080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12726 NE 116TH LN APT E5",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980348433",
            "telephone_number": "425-736-7478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 BOTHELL EVERETT HWY STE 200",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121796",
            "telephone_number": "425-736-7478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8195 166th Ave NE Ste 204",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "WA",
            "postal_code": "980523960",
            "country_code": "US",
            "telephone_number": "425-736-7478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYON",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60867944",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "CP6369-R",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.