Individual provider Active NPI

Mark Bernard Lyga, LCSW

  • Mental Health Counselor
  • Thompson Falls, MT
National Provider Identifier
1821794355
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
BBH-LCSW-LIC-62363 Issued in MT
Practice address
2504 Tradewinds Way
Thompson Falls, MT 59873-9707
Phone
(406) 270-5713
NPI assigned
Feb 6, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X BBH-LCSW-LIC-62363 MT Primary

Addresses

Primary practice location

2504 Tradewinds Way
Thompson Falls, MT 59873-9707

Mailing address

PO Box 6
Plains, MT 59859-0006
Phone (406) 270-5713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231207000095 MT Practitioner - Clinical Social Worker 9234588963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2504 Tradewinds Way
Suite B
Thompson Falls, MT 59873-9707
Phone (406) 270-5713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
BBH-LCSW-LIC-62363MTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Surpass Counseling Services LLC Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

2504 Tradewinds Way
Thompson Falls, MT 59873
Phone (406) 209-8610

2504 Tradewinds Way
Ste B
Thompson Falls, MT 59873
Phone (406) 270-5713

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1821794355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598590006",
            "telephone_number": "406-270-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 TRADEWINDS WAY",
            "city": "THOMPSON FALLS",
            "state": "MT",
            "postal_code": "598739707",
            "telephone_number": "406-270-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYGA",
        "first_name": "MARK",
        "middle_name": "BERNARD",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "BBH-LCSW-LIC-62363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thompson Falls, MT

Sources for this page

Verify at the official NPI Registry.