Individual provider Active NPI

Sally Tip Lyons, LPC

  • Professional Counselor
  • Royal Oak, MI
National Provider Identifier
1720204985
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401011491 Issued in MI
Practice address
26862 Woodward Ave Unit 101
Royal Oak, MI 48067-0958
Phone
(248) 507-4446
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401011491 MI Primary

Addresses

Primary practice location

26862 Woodward Ave Unit 101
Royal Oak, MI 48067-0958

Mailing address

1206 E Lincoln Ave
Royal Oak, MI 48067-3452
Phone (248) 678-1146

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401011491MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Counseling LLC CurrentSince Jun 5, 2022 Accepting new patients

Locations

26862 Woodward Ave
Unit 101
Royal Oak, MI 48067
Phone (248) 507-4446

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1720204985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 E LINCOLN AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673452",
            "telephone_number": "248-678-1146",
            "fax_number": "586-759-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26862 WOODWARD AVE UNIT 101",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480670958",
            "telephone_number": "248-507-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "SALLY",
        "middle_name": "TIP",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.