Individual provider Active NPI

Mitchell Louis Lyon, LPC

  • Counselor
  • Enid, OK
National Provider Identifier
1750618583
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
4143 Issued in OK
Practice address
231 S 30TH St
Enid, OK 73701-6455
Phone
(580) 215-7555
NPI assigned
Nov 16, 2009
Last updated
Feb 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4143 OK Primary
Professional Counselor 101YP2500X 4143 OK

Addresses

Primary practice location

231 S 30TH St
Enid, OK 73701-6455

Mailing address

231 S 30TH St
Enid, OK 73701-6455
Phone (580) 596-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240112001531 OK Practitioner - Mental Health Counselor 6406207521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

231 S 30TH St
Enid, OK 73701-6455
Phone (580) 596-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Great Salt Plains Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Great Salt Plains Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Great Salt Plains Health Center, Inc. Past Accepting new patients
Great Salt Plains Health Center, Inc. PastSince Sep 29, 2024 Accepting new patients

Locations

405 S Oklahoma Ave
Cherokee, OK 73728
Phone 87724284756012

231 S 30th St
Enid, OK 73701
Phone (580) 215-7555

5320 W Chestnut Ave
Enid, OK 73703
Phone (580) 233-2900

619 N Front St
Medford, OK 73759
Phone (580) 395-3200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAIDAD

Organizations & group practices 4

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": "1258329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1750618583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 S 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016455",
            "telephone_number": "580-596-2800",
            "fax_number": "580-596-2805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S 30TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016455",
            "telephone_number": "580-215-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "MITCHELL",
        "middle_name": "LOUIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-16",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "4143",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.