Individual provider Active NPI

Ashley Jane-Marie Lyon, MA, LPC, ATR

  • Counselor
  • Wolverine Lake, MI
National Provider Identifier
1972867109
Registry record updated Jan 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401013124 Issued in MI
Practice address
1251 Mallow St
Wolverine Lake, MI 48390-1934
Phone
(734) 718-2261
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401013124 MI Primary

Addresses

Primary practice location

1251 Mallow St
Wolverine Lake, MI 48390-1934

Mailing address

1251 Mallow St
Wolverine Lake, MI 48390-1934
Phone (734) 718-2261

Other practice location 1

306 S Washington Ave Ste 300
Royal Oak, MI 48067-3834
Phone (866) 600-8440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 21, 2024 through Mar 21, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401013124MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Winter'S Wisdom Counseling, LLC Counselor CurrentSince Jun 25, 2023 Accepting new patients

Locations

141 N Milford Rd
Ste 103
Highland, MI 48357
Phone (248) 937-8682

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673827200000",
    "number": "1972867109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 MALLOW ST",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483901934",
            "telephone_number": "734-718-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 MALLOW ST",
            "city": "WOLVERINE LAKE",
            "state": "MI",
            "postal_code": "483901934",
            "telephone_number": "734-718-2261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 S Washington Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480673834",
            "country_code": "US",
            "telephone_number": "866-600-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYON",
        "first_name": "ASHLEY",
        "middle_name": "JANE-MARIE",
        "credential": "MA, LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401013124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolverine Lake, MI

Sources for this page

Verify at the official NPI Registry.