Lynze D. Vickers, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3560 Issued in FL

Practice address

3415 Deerfield LN
Valdosta, GA 31606-0646

Phone

(334) 401-0595

NPI assigned

Feb 4, 2015

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Lynze Durham Former name

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Lynze Vickers, LMFT, LLC

  • Marriage & Family Therapist
  • Valdosta, GA
  • NPI 1003261637
  Authorized official Same address or phone

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1962892414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3415 DEERFIELD LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316060646",
            "telephone_number": "334-401-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3415 DEERFIELD LN",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316060646",
            "telephone_number": "334-401-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICKERS",
        "first_name": "LYNZE",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-04",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001430",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNZE",
            "last_name": "DURHAM",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Veedhata Om LLC (Prime Diagnostics)
• Alan Vega
• Mikeya Vega, LCSW
• Velocity DX LLC
• Veteran Housing of America
• Vital Inc. (Vital Living Network)
• Deborah Melissa Vizcarrondo, LAMFT
• Voa Ambulatory Surgery Center
• Allison Vogel, PA-C
• Paula Marie Von Der Heide, LAPC

• Marriage & Family Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.