Mary Lou Lyon, LCPC, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC1509 Issued in MD

Legal business name

MARY LOU LYON, LCPC, LLC

Practice address

966 Hungerford Dr
Suite 18B
Rockville, MD 20850-1714

Phone

(301) 762-4100

NPI assigned

Jan 22, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Mary Lou Lyon, LCPC

Title

Owner

Phone

(301) 762-4100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390348800000",
    "number": "1811310238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR",
            "address_2": "SUITE 18B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501714",
            "telephone_number": "301-762-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "966 HUNGERFORD DR",
            "address_2": "SUITE 18B",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208501714",
            "telephone_number": "301-762-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY LOU LYON, LCPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-22",
        "last_updated": "2014-01-22",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "LOU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-762-4100",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC1509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Rockville, MD
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.