Individual provider Active NPI

Stacy Ann Lyons, PMHNP-BC, LPC

  • Psychiatric/Mental Health Nurse Practitioner
  • Beverly Hills, CA
National Provider Identifier
1588801641
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP95023711 Issued in CA
Practice address
8383 Wilshire Blvd Ste 602
Beverly Hills, CA 90211-2425
Phone
(800) 955-0167
Fax
(800) 452-1686
NPI assigned
Jan 12, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X NP95023711 CA Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC-17363 AZ
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X RN215578 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP8866 AZ

Addresses

Primary practice location

8383 Wilshire Blvd Ste 602
Beverly Hills, CA 90211-2425

Mailing address

222 Pevely Farms Dr
Eureka, MO 63025-1618

Other practice location 1

18205 N 51st Ave Ste 109
Glendale, AZ 85308-1491
Phone (800) 955-0167

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address contact@journeytelepsych.com Direct
Direct Messaging Address contact@journeytelepsych.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-17363AZMDMental Health Counselor
RN215578AZMDPsychiatric/Mental Health Registered Nurse
AP8866AZMDPsychiatric/Mental Health Nurse Practitioner
NP95023711CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Psych Corp Mental Health CurrentSince Aug 4, 2024 Accepting new patients
Journey Psych LLC CurrentSince Jan 28, 2024 Accepting new patients

Locations

18205 N 51st Ave
Ste 109
Glendale, AZ 85308
Phone (602) 547-1400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1588801641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 PEVELY FARMS DR",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8383 WILSHIRE BLVD STE 602",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112425",
            "telephone_number": "800-955-0167",
            "fax_number": "800-452-1686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18205 N 51st Ave Ste 109",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853081491",
            "country_code": "US",
            "telephone_number": "800-955-0167",
            "fax_number": "800-452-1686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS",
        "first_name": "STACY",
        "middle_name": "ANN",
        "credential": "PMHNP-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95023711",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-17363",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "RN215578",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "AP8866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@journeytelepsych.com",
            "affiliation": "N",
            "endpointDescription": "Please reach out to us at this email address for any query or appointments. We will more than happy to assist.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "18205 N 51st Ave Ste 109",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853081491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@journeytelepsych.com",
            "affiliation": "N",
            "address_1": "8383 Wilshire Blvd Ste 602",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902112425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; 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.