Active NPI
Deborah Susan Lyon, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1629726633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 80143
- Practice address
- 2814 Falling BRK
San Antonio, TX 78258-4427 - Phone
- (210) 685-8397
- NPI assigned
- Mar 17, 2022
- Last updated
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 80143 | TX | Primary |
Addresses
Primary practice location
2814 Falling BRK
San Antonio, TX 78258-4427
Mailing address
2814 Falling BRK
San Antonio, TX 78258-4427
Phone (210) 685-8397
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2024 through Feb 14, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 80143 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1629726633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2814 FALLING BRK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584427",
"telephone_number": "210-685-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2814 FALLING BRK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584427",
"telephone_number": "210-685-8397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYON",
"first_name": "DEBORAH",
"middle_name": "SUSAN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-17",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "80143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.