Active NPI
Mitchell Louis Lyon, LPC
- Counselor
- Enid, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 4143
- Practice address
- 231 S 30TH St
Enid, OK 73701-6455 - Phone
- (580) 215-7555
- NPI assigned
- Nov 16, 2009
- Last updated
- Feb 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Current | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Past | Accepting new patients | |
| Great Salt Plains Health Center, Inc. | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Cherokee, OK
- NPI 1881876738
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1699564476
-
dba GSP Health Enid
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1245667732
-
- Federally Qualified Health Center (FQHC)
- Enid, OK
- NPI 1952128431
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.