Individual provider Active NPI

Jennifer Elaine Lyon, M.S., L.M.F.T.

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1992859912
Registry record updated Nov 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46888 Issued in CA
Practice address
130 Yellowstone Dr
Suite 110
Chico, CA 95973-5884
Phone
(530) 879-5991
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 46888 CA Primary

Addresses

Primary practice location

130 Yellowstone Dr
Suite 110
Chico, CA 95973-5884

Mailing address

22 Lobelia CT
Chico, CA 95973-8241
Phone (530) 828-6861

Other identifiers 3

IdentifierTypeStateIssuer
81344OtherCAMEDI-CAL BILLING NUMBER
46888OtherCAMFC
80614OtherCAMEDI-CAL BILLING NUMBER

Other names 1

  • Jennifer Elaine Bruce Arvonen Former name

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1992859912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LOBELIA CT",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959738241",
            "telephone_number": "530-828-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 YELLOWSTONE DR",
            "address_2": "SUITE 110",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959735884",
            "telephone_number": "530-879-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYON",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "M.S., L.M.F.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL BILLING NUMBER",
            "identifier": "81344",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFC",
            "identifier": "46888",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL BILLING NUMBER",
            "identifier": "80614",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BRUCE ARVONEN",
            "middle_name": "ELAINE",
            "credential": "M.S., L.M.F.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.