Sandra Stacey Jessup Lyons, LCSW, LAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

BBH-LCSW-LIC-88081 Issued in MT

Practice address

1700 W Koch St Ste 9
Bozeman, MT 59715-4148

Phone

(406) 600-3247

NPI assigned

Jun 26, 2023

Last updated

Mar 10, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sunburst Health LLC

  dba Cedar Creek Integrated Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Missoula, MT
  • NPI 1093297764

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1427734102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 TALON WAY UNIT A",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597189626",
            "telephone_number": "406-600-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W KOCH ST STE 9",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597154148",
            "telephone_number": "406-600-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JESSUP LYONS",
        "first_name": "SANDRA",
        "middle_name": "STACEY",
        "credential": "LCSW, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-LAC-LIC-57706",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "BBH-LCSW-LIC-88081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Jensen, PHARMD
• Virginia R Jeppesen, NP-C
• Jesse McClung DDS PLLC (Big Sky Dental Center)
• Lauren Marie Jessen, PA-C
• Jessica Lenneman LCSW
• Joanna Greenbaum Therapy Dba in Flow Psychology
• Joanna Wright Counseling, LLC (BZN Counseling)
• Tyler Joanou, LMT
• John a. Vallin, M.D., LLC
• John K H Griffith (Medical Arts Pharmacy)

• Clinical Social Worker in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.