Individual provider Active NPI

Darcy Lyon, MFT

  • Marriage & Family Therapist
  • Portland, OR
National Provider Identifier
1588046486
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T1027 Issued in OR
Practice address
811 NW 19TH Ave
Portland, OR 97209-1401
Phone
(971) 266-6910
NPI assigned
Jun 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 81222 CA
Marriage & Family Therapist 106H00000X T1027 OR Primary

Addresses

Primary practice location

811 NW 19TH Ave
Portland, OR 97209-1401

Mailing address

3154 NE 76TH Ave
Portland, OR 97213-6502
Phone (503) 975-2685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240412003897 OR Practitioner - Marriage and Family Therapist 8527407378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willamette Health and Wellness LLCGroup PAC ID 6204275100, 7 clinicians

Practice addresses (Care Compare)

700 NE Multnomah St
Suite 275
Portland, OR 97232-4103
Phone (503) 729-1380

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T1027ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Willamette Health & Wellness LLC CurrentSince Feb 21, 2024 Accepting new patients

Locations

700 NE Multnomah St
Ste 275
Portland, OR 97232
Phone (503) 729-1380

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435276800000",
    "number": "1588046486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 NE 76TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972136502",
            "telephone_number": "503-975-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 NW 19TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091401",
            "telephone_number": "971-266-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "DARCY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "81222",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.