Individual provider Active NPI

Caridad Amparo Lyons McDonald, PHD, LMHC, CFMHE

  • Mental Health Counselor
  • Deltona, FL
National Provider Identifier
1821364746
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
780 Deltona Blvd Ste 102
Deltona, FL 32725-7128
Phone
(386) 753-3915
NPI assigned
Mar 25, 2012
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12055 FL
Mental Health Counselor 101YM0800X FL Primary

Addresses

Primary practice location

780 Deltona Blvd Ste 102
Deltona, FL 32725-7128

Mailing address

780 Deltona Blvd Ste 102
Deltona, FL 32725-7128
Phone (386) 753-3915

Other practice location 1

2545 Gramercy Dr
Deltona, FL 32738-1939
Phone (386) 801-8879

Other names 1

  • Ms. Chachi Lyons Other name

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH12055FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1821364746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 DELTONA BLVD STE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257128",
            "telephone_number": "386-753-3915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 DELTONA BLVD STE 102",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327257128",
            "telephone_number": "386-753-3915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2545 Gramercy Dr",
            "address_purpose": "LOCATION",
            "city": "Deltona",
            "state": "FL",
            "postal_code": "327381939",
            "country_code": "US",
            "telephone_number": "386-801-8879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYONS MCDONALD",
        "first_name": "CARIDAD",
        "middle_name": "AMPARO",
        "name_prefix": "Ms.",
        "credential": "PHD, LMHC, CFMHE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12055",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHACHI",
            "last_name": "LYONS",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Deltona, FL

Sources for this page

Verify at the official NPI Registry.