Active NPI
Laura Lyn, PH.D.
- Counseling Psychologist
- Flagstaff, AZ
National Provider Identifier
1801062286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3325
- Practice address
- 123 S San Francisco St
Suite 12
Flagstaff, AZ 86001-5796 - Phone
- (928) 214-0429
- NPI assigned
- May 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3325 | AZ | Primary |
Addresses
Primary practice location
123 S San Francisco St
Suite 12
Flagstaff, AZ 86001-5796
Mailing address
123 S San Francisco St
Suite 12
Flagstaff, AZ 86001-5796
Phone (928) 214-0429
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Mar 6, 2019 through Mar 6, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3325 | AZ | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1801062286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S SAN FRANCISCO ST",
"address_2": "SUITE 12",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860015796",
"telephone_number": "928-214-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S SAN FRANCISCO ST",
"address_2": "SUITE 12",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860015796",
"telephone_number": "928-214-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYN",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "AZ",
"license": "3325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.