Individual provider Active NPI

Jennifer Leigh Lyon, MHA

  • Mental Health Counselor
  • South Williamson, KY
National Provider Identifier
1447442272
Registry record updated Apr 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
140 Hospital Dr
South Williamson, KY 41503-4022
Phone
(606) 237-9873
Fax
(606) 237-9723
NPI assigned
Aug 15, 2007
Last updated
Apr 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2018

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 Primary

Addresses

Primary practice location

140 Hospital Dr
South Williamson, KY 41503-4022

Mailing address

510 Central Ave
South Williamson, KY 41503-4123
Phone (066) 548-0720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240106000721 KY Practitioner - Mental Health Counselor 3274984968 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapeutic Counseling Services PLLC Current Accepting new patients
Spero Health of Kentucky, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

640 Wright Ave
Bowling Green, KY 42103
Phone (270) 495-4323

106 Belinda Blvd
Ste 100
Danville, KY 40422
Phone (859) 439-0340

7160 N Mayo Trl
Pikeville, KY 41501
Phone (606) 478-9928

155 Franklin Rd
Ste 430
Brentwood, TN 37027
Phone (615) 265-0359

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1447442272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CENTRAL AVE",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034123",
            "telephone_number": "066-548-0720",
            "fax_number": "606-886-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 HOSPITAL DR",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034022",
            "telephone_number": "606-237-9873",
            "fax_number": "606-237-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "MHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-15",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Williamson, KY

Sources for this page

Verify at the official NPI Registry.