Active NPI
Diane Lyn Lyle, MT-BC, LPC
- Mental Health Counselor
- Clearfield, PA
National Provider Identifier
1821159062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC000822
- Practice address
- 706 River Rd
Clearfield, PA 16830-2958 - Phone
- (814) 768-7488
- Fax
- (814) 768-7488
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC000822 | PA | Primary |
Addresses
Primary practice location
706 River Rd
Clearfield, PA 16830-2958
Mailing address
170 Russell Dr
Brockway, PA 15824-2252
Phone (814) 265-8200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC000822 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821159062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 RUSSELL DR",
"city": "BROCKWAY",
"state": "PA",
"postal_code": "158242252",
"telephone_number": "814-265-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 RIVER RD",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168302958",
"telephone_number": "814-768-7488",
"fax_number": "814-768-7488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYLE",
"first_name": "DIANE",
"middle_name": "LYN",
"name_prefix": "Mrs.",
"credential": "MT-BC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "PC000822",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.