Lyons Clinical Counseling & Associates, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LYONS CLINICAL COUNSELING & ASSOCIATES, P.C.

Practice address

1065 Martin Luther King Dr
Centralia, IL 62801-3001

Phone

(618) 545-0770

Fax

(618) 545-0754

NPI assigned

Aug 17, 2007

Last updated

Aug 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roger K. Lyons, D.MIN., L.C.P.C.NPI 1326196783

Title

President/Therapist

Phone

(618) 252-1722

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald D Lyons, LCSW

  • Mental Health Counselor
  • Centralia, IL
  • NPI 1548453384
  Medicare reassignment NPD
• Roger K. Lyons, D.MIN., L.C.P.C.

  • Professional Counselor
  • Harrisburg, IL
  • NPI 1326196783
  Authorized official Same address or phone

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187308800000",
    "number": "1841482379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 HORTENSE ST",
            "address_2": "P.O. BOX 393",
            "city": "MURPHYSBORO",
            "state": "IL",
            "postal_code": "629661749",
            "telephone_number": "618-684-6000",
            "fax_number": "618-684-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 MARTIN LUTHER KING DR",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013001",
            "telephone_number": "618-545-0770",
            "fax_number": "618-545-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYONS CLINICAL COUNSELING & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2007-08-17",
        "status": "A",
        "authorized_official_last_name": "LYONS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT/THERAPIST",
        "authorized_official_telephone_number": "618-252-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MIN., L.C.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Elizabeth Lowry, M.C.D., CCC-SLP
• LTC Illinois - Friendship, Inc. (Friendship House of Centralia)
• LTC of Illinois - Fireside, Inc. (Fireside House of Centralia)
• Miles Ludwigs
• Jenna Lutz
• Ronald D Lyons, LCSW
• Gibran Hamid Mahmud, M.D.
• Marion Eye Centers LTD.
• Dawn Martinez-Uribe
• Nicole Danielle Masaracchia

• Mental Health Counselor in Centralia, IL
• Providers in Centralia, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.