Emily Rebecca Lyman, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P2401017 Issued in AR

Practice address

2621 W Main St Ste 5
Russellville, AR 72801-2551

Phone

(479) 595-0333

Fax

(888) 816-7916

NPI assigned

Aug 22, 2021

Last updated

Feb 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chenal Family Therapy, PLC

  • Mental Health Counselor
  • Little Rock, AR
  • NPI 1356604219
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1770259491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 W MAIN ST STE 5",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012551",
            "telephone_number": "479-595-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 W MAIN ST STE 5",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012551",
            "telephone_number": "479-595-0333",
            "fax_number": "888-816-7916"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Exchange Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720327833",
            "country_code": "US",
            "telephone_number": "501-781-2230",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2621 W Main St Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AR",
            "postal_code": "728012551",
            "country_code": "US",
            "telephone_number": "479-595-0333",
            "fax_number": "888-816-7916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "EMILY",
        "middle_name": "REBECCA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "9236",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2401017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos David Lozano
• Caroline Ruth Lozano
• Jon Lundquist, L.C.S.W.
• Anong Lunsford
• Tammy Danielle Lusk
• Shawn David Lyman, LAMFT
• Jared Iverson Magee, MHPP
• Daniel E Magill, MD
• Tiffany Mahon
• Randeep S Mann, M.D.

• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.