Active NPI
Marissa A Lyons, B.S.
- Counselor
- Tacoma, WA
National Provider Identifier
1962792648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- CG60216570
- Practice address
- 815 S Pearl St
Tacoma, WA 98465-2117 - Phone
- (253) 396-5937
- NPI assigned
- Apr 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | CG60216570 | WA | Primary |
Addresses
Primary practice location
815 S Pearl St
Tacoma, WA 98465-2117
Mailing address
819 S Ferry St
Tacoma, WA 98405-3033
Phone (425) 314-8915
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60216570 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1962792648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 S FERRY ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053033",
"telephone_number": "425-314-8915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 S PEARL ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984652117",
"telephone_number": "253-396-5937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYONS",
"first_name": "MARISSA",
"middle_name": "A",
"credential": "B.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-14",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "CG60216570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.