Individual provider Active NPI

Cyndie Lue Lyon, L.C.S.W.

  • Clinical Social Worker
  • Rogers, AR
National Provider Identifier
1518306158
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
977-C Issued in AR
Practice address
2303 Beacon Circle Dr
Rogers, AR 72758-6433
Phone
(479) 957-8464
NPI assigned
Jun 17, 2013
Last updated
Aug 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 977-C AR Primary
Case Manager/Care Coordinator 171M00000X 00089278 IL

Addresses

Primary practice location

2303 Beacon Circle Dr
Rogers, AR 72758-6433

Mailing address

2303 Beacon Circle Dr
Rogers, AR 72758-6433
Phone (479) 957-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20140225001743 AR Practitioner - Clinical Social Worker 7517197239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1991
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rogers Counseling Services IncGroup PAC ID 2668791260, 2 clinicians

Practice addresses (Care Compare)

604 N 13TH St
Suite 8
Rogers, AR 72756-3459
Phone (479) 957-8464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
977-CARMDClinical Social Worker
00089278ILMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Counseling Services, Inc. Clinical CurrentSince Jan 20, 2015 Accepting new patients

Locations

2303 W Beacon Circle Dr
Rogers, AR 72758
Phone (479) 715-9800

604 N 13th St
Ste 8
Rogers, AR 72756
Phone (479) 957-8464

Organizations & group practices 1

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": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377129600000",
    "number": "1518306158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 BEACON CIRCLE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727586433",
            "telephone_number": "479-957-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 BEACON CIRCLE DR",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727586433",
            "telephone_number": "479-957-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "CYNDIE",
        "middle_name": "LUE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-17",
        "last_updated": "2013-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "977-C",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": "00089278",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, AR

Sources for this page

Verify at the official NPI Registry.