Individual provider Active NPI

Sarah Lyon, CASAC-M, LPMHC

  • Mental Health Counselor
  • Troy, NY
National Provider Identifier
1689189219
Registry record updated Aug 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
016596 Issued in NY
Practice address
2435 6TH Ave
Troy, NY 12180-2227
Phone
(518) 274-5143
NPI assigned
Dec 5, 2017
Last updated
Aug 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 33808 NY
Mental Health Counselor 101YM0800X 016596 NY Primary

Addresses

Primary practice location

2435 6TH Ave
Troy, NY 12180-2227

Mailing address

79 Glenridge Rd
Glenville, NY 12302-4523
Phone (518) 952-8408

Other practice location 1

55 Elm St
Glens Falls, NY 12801-3670
Phone (518) 793-7273

Other identifiers 1

IdentifierTypeStateIssuer
01420800MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250829002283 NY Practitioner - Mental Health Counselor 6002359775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conifer Park IncGroup PAC ID 2769470384, 12 clinicians

Practice addresses (Care Compare)

2435 6TH Ave
Troy, NY 12180-2227
Phone (518) 274-5143

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33808NYMDAddiction (Substance Use Disorder) Counselor
016596NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Park, Inc. Current Accepting new patients
Conifer Park, Inc. CurrentSince Aug 7, 2025 Accepting new patients
Conifer Park, Inc. CurrentSince Aug 7, 2025 Accepting new patients

Locations

55 Elm St
Glens Falls, NY 12801
Phone (518) 793-7273

79 Glenridge Rd
Scotia, NY 12302
Phone (518) 952-8142

2435 6th Ave
Troy, NY 12180
Phone (518) 273-0280

Organizations & group practices 3

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": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755648000000",
    "number": "1689189219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 GLENRIDGE RD",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123024523",
            "telephone_number": "518-952-8408",
            "fax_number": "518-399-6860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 6TH AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802227",
            "telephone_number": "518-274-5143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Elm St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128013670",
            "country_code": "US",
            "telephone_number": "518-793-7273",
            "fax_number": "518-798-5004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYON",
        "first_name": "SARAH",
        "credential": "CASAC-M, LPMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "33808",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "016596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01420800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.