Walter William Lyman, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.191905 Issued in OH

Practice address

28407 State Route 7
Marietta, OH 45750-5152

Phone

(740) 371-5476

NPI assigned

Mar 28, 2025

Last updated

Mar 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1972306827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28407 STATE ROUTE 7",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505152",
            "telephone_number": "740-371-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28407 STATE ROUTE 7",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457505152",
            "telephone_number": "740-371-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYMAN",
        "first_name": "WALTER",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.191905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Rose Lovejoy, PA-C
• Peter E Lovejoy, DDS
• Ann Marie Lowers, PT
• Jennifer Lowman, NP
• Leann Lynn Lucas, CDCA
• Amanda Lynch
• Lynn Corpman Services, LLC
• Micayla Lyons
• Fortunato R Macatol, MD
• Matthew J Macatol, M.D.

• Addiction (Substance Use Disorder) Counselor in Marietta, OH
• Providers in Marietta, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.