Adele Lyman

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

122597 Issued in CA

Practice address

15082 Rosecrans Ave
La Mirada, CA 90638-4741

Phone

(562) 457-0291

NPI assigned

Sep 4, 2019

Last updated

Jun 21, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 21, 2024 through Apr 21, 2028

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.

• Straight Talk Clinic, Inc

  • Community/Behavioral Health Agency
  • La Mirada, CA
  • NPI 1568672640
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1578112314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1353",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906371353",
            "telephone_number": "562-457-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15082 ROSECRANS AVE",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906384741",
            "telephone_number": "562-457-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "ADELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "122597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazlyn Lum, PHARMD
• Marcus Wesley Lum, MD
• Nancy Jeanette Lum, LCSW
• Latasha Lunn, LVN
• Anh-Thu Jessica Luu, DPM
• Jessica Megan Lynn, BCBA
• M Jung and Mary Patuwo Dental Corporation (Smile Up Hygiene and Dental Studio)
• Edjeska Macandili
• Madeleine M Valencerina MD Inc
• Ulises Madrigal

• Marriage & Family Therapist in La Mirada, CA
• Providers in La Mirada, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.