Alexis Lyons
Individual provider Active NPI Mental Health Counselor · Manchester, NY
NPI 1740917566 · NPPES record last updated May 16, 2026
Key facts
- NPI
- 1740917566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 015761 (NY)
- Practice address
- 25 North Ave
Manchester, NY 14504-9768 - Phone
- (585) 905-8563
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1225 Franklin Ave
Suite 325
Garden City, NY 11530-1659
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260601000345 | NY | Practitioner - Mental Health Counselor | 3173093143 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015761 | NY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Wellness Services, Licensed Mental Health Counselor P.C. | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 015761 | NY | Yes |
Addresses
Primary practice location
25 North Ave
Manchester, NY 14504-9768
Mailing address
25 North Ave
Manchester, NY 14504-9768
Phone (585) 905-8563
Other providers in Manchester, NY
- Robert Gary Curns
- Raina Pharmacy LLC
- Raina Pharmacy LLC
- Crystal Marie Sawyer
- Holly Rebecca Smith
- Stephanie Erin Williams
All providers in Manchester, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.