Individual provider Active NPI

Antoinette Lyle, M.A.

  • Mental Health Counselor
  • Phoenixville, PA
National Provider Identifier
1871927095
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
723 Wheatland St
Ste.1a
Phoenixville, PA 19460-5361
Phone
(610) 415-9301
Fax
(610) 415-1656
NPI assigned
Aug 23, 2013
Last updated
Mar 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 Primary
Professional Counselor 101YP2500X PC007200 PA

Addresses

Primary practice location

723 Wheatland St
Ste.1a
Phoenixville, PA 19460-5361

Mailing address

723 Wheatland St
Ste.1a
Phoenixville, PA 19460-5361
Phone (610) 415-9301

Other practice location 1

145 N 6th St
Reading, PA 19601-3096
Phone (610) 406-4346

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: No
  • 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
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC007200PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Fellowship Health Resources, Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1871927095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 WHEATLAND ST",
            "address_2": "STE.1A",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605361",
            "telephone_number": "610-415-9301",
            "fax_number": "610-415-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 WHEATLAND ST",
            "address_2": "STE.1A",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194605361",
            "telephone_number": "610-415-9301",
            "fax_number": "610-415-1656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Reading",
            "state": "PA",
            "postal_code": "196013096",
            "country_code": "US",
            "telephone_number": "610-406-4346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYLE",
        "first_name": "ANTOINETTE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-23",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

Verify at the official NPI Registry.