Individual provider Active NPI

Susan Elizabeth Lyon, MA, LPC

  • Professional Counselor
  • Midland, MI
National Provider Identifier
1952595597
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401000457 Issued in MI
Practice address
1205 E Wackerly St
Midland, MI 48642-7035
Phone
(989) 832-9161
Fax
(989) 832-8813
NPI assigned
Aug 28, 2007
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401000457 MI Primary

Addresses

Primary practice location

1205 E Wackerly St
Midland, MI 48642-7035

Mailing address

1205 E Wackerly St
Midland, MI 48642-7035
Phone (989) 832-9161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240515000930 MI Practitioner - Mental Health Counselor 8022459593 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Medicine Associates of Mid Michigan PCGroup PAC ID 6103823406, 7 clinicians

Practice addresses (Care Compare)

1205 E Wackerly St
Midland, MI 48642-7035
Phone (989) 832-9161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Medicine Associates of Mid Michigan PC CurrentSince Apr 8, 2024 Accepting new patients
List Psychological Services, PLC Counselor Past Accepting new patients

Locations

1205 E Wackerly St
Midland, MI 48642
Phone (989) 832-4000

Organizations & group practices 2

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": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1952595597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 E WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427035",
            "telephone_number": "989-832-9161",
            "fax_number": "989-832-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E WACKERLY ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486427035",
            "telephone_number": "989-832-9161",
            "fax_number": "989-832-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401000457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.