Individual provider Active NPI

Misty S Lyons, LPCC

  • Professional Counselor
  • Bowling Green, KY
National Provider Identifier
1972146462
Registry record updated Oct 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
293144 Issued in KY
Practice address
2661 Mount Victor LN Apt 314
Bowling Green, KY 42103-6087
Phone
(270) 725-0377
NPI assigned
Oct 28, 2019
Last updated
Oct 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2026

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 293144 KY Primary

Addresses

Primary practice location

2661 Mount Victor LN Apt 314
Bowling Green, KY 42103-6087

Mailing address

2661 Mount Victor LN Apt 314
Bowling Green, KY 42103-6087
Phone (270) 725-0377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20251103002822 KY Practitioner - Mental Health Counselor 6901396514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitae Health Medical Kentucky, LLCGroup PAC ID 3173952637, 28 clinicians

Practice addresses (Care Compare)

3500 Good Samaritan Way
Louisville, KY 40299-6117
Phone (502) 267-7403

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
293144KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Comprehensive Care Center, Inc. CurrentSince Feb 23, 2026 Accepting new patients
Telos Health Systems Ky LLC Mental Health CurrentSince Aug 9, 2025 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Feb 23, 2026 Accepting new patients

Locations

3500 Good Samaritan Way
Louisville, KY 40299
Phone (502) 267-7403

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

Organizations & group practices 4

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": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793404800000",
    "number": "1972146462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 MOUNT VICTOR LN APT 314",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036087",
            "telephone_number": "270-725-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2661 MOUNT VICTOR LN APT 314",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421036087",
            "telephone_number": "270-725-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYONS",
        "first_name": "MISTY",
        "middle_name": "S",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2026-10-31",
        "certification_date": "2026-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "293144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.