Individual provider Active NPI

Samantha Lyons, ACMHC

  • Mental Health Counselor
  • Eagle Mountain, UT
National Provider Identifier
1407781503
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11710683-6009 Issued in UT
Practice address
4317 N Pony Express Pkwy Ste 250
Eagle Mountain, UT 84005-1230
Phone
(801) 655-5450
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11710683-6009 UT Primary

Addresses

Primary practice location

4317 N Pony Express Pkwy Ste 250
Eagle Mountain, UT 84005-1230

Mailing address

4317 N Pony Express Pkwy Ste 250
Eagle Mountain, UT 84005-1230
Phone (801) 655-5450

Other practice location 1

2972 W Maple Loop Dr Ste 101
Lehi, UT 84048-5967
Phone (801) 655-5450

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

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1407781503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4317 N PONY EXPRESS PKWY STE 250",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840051230",
            "telephone_number": "801-655-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4317 N PONY EXPRESS PKWY STE 250",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840051230",
            "telephone_number": "801-655-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2972 W Maple Loop Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840485967",
            "country_code": "US",
            "telephone_number": "801-655-5450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "SAMANTHA",
        "credential": "ACMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11710683-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Mountain, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.