Individual provider Active NPI

Michael Lyons, LPC, LICDC

  • Professional Counselor
  • Eaton, OH
National Provider Identifier
1922594407
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C.2304961 Issued in OH
Practice address
212 N Barron St
Eaton, OH 45320-1704
Phone
(937) 336-5094
Fax
(574) 406-7311
NPI assigned
Jul 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LICDC.162329 OH
Professional Counselor 101YP2500X C.2304961 OH Primary

Addresses

Primary practice location

212 N Barron St
Eaton, OH 45320-1704

Mailing address

2017 John St
Hamilton, OH 45011-5836
Phone (513) 903-1914

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

LicenseStateTypeSpecialty
LICDC.162329OHMDAddiction (Substance Use Disorder) Counselor
C.2304961OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
333 Therapeutics Consulting LLC CurrentSince Sep 17, 2023 Accepting new patients

Locations

212 N Barron St
Eaton, OH 45320
Phone (937) 336-5094

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": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1922594407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 JOHN ST",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450115836",
            "telephone_number": "513-903-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N BARRON ST",
            "city": "EATON",
            "state": "OH",
            "postal_code": "453201704",
            "telephone_number": "937-336-5094",
            "fax_number": "574-406-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LPC, LICDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-08",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "LICDC.162329",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.2304961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.