MR. MATTHEW LYON (NPI# 1164069811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164069811 |
| Entity Type | Individual |
| Full Name | MR. MATTHEW LYON |
| Credential | LCDC |
| Practice Address |
1510 S Vine Ave Tyler TX 75701-2826 |
| Mailing Address |
2419 Vz County Road 2318 Canton TX 75103-4873 |
| Practice Telephone | 9035264055 |
| Enumeration Date | 2019-12-02 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14377 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588686844 | Matthew Houston Lyon | Audiologist | 1500 N Mesa St, El Paso, TX 79902-4019 | 2006-07-24 |
| 1043529720 | Matthew Lyon | Counselor | 204 Hampton Dr, Venice, CA 90291-2623 | 2010-09-29 |
| 1053598607 | Matthew Lyon | Chiropractor | 725 Providence Rd, Suite 216a, Charlotte, NC 28207-2370 | 2008-01-25 |
| 1932218146 | Matthew L. Lyon | Emergency Medicine | 1120 15th St, Augusta, GA 30912-0004 | 2006-08-30 |
| Street Address |
1510 S VINE AVE |
| City | TYLER |
| State | TX |
| Zip Code | 75701-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811482581 | Robert M Parnell | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2018-06-26 |
| 1790303378 | Olivia Hernandez | Licensed Vocational Nurse | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2020-07-09 |
| 1548883135 | Shana Michelle Ferrara | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2020-05-19 |
| 1134770324 | Bethany Christen Lambert | Licensed Vocational Nurse | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2019-09-27 |
| 1902453327 | Emily Lauren Godsey | Registered Nurse | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2019-08-20 |
| 1306490198 | Patricia Ann Roberts | Licensed Vocational Nurse | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2019-07-30 |
| 1699331017 | Perla Salazar | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2019-05-10 |
| 1992291801 | Karen Willard | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2018-07-03 |
| 1013402452 | Robbie Gene Pell | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2018-06-28 |
| 1740775188 | Nada Jones | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2018-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1396266441 | Eye Surgery Center of East Texas, Pllc | Clinic/Center | 2448 E 5th St, Tyler, TX 75701 | 2017-06-29 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124642798 | Erin Cameron | Counselor | 120 W 5th St Ste 105, Tyler, TX 75701-4053 | 2020-05-29 |
| 1376162354 | Noel M Slagle | Counselor | 114 Jordan Plaza Blvd, Tyler, TX 75704-2056 | 2020-04-10 |
| 1982256665 | Amy Lynn Chapmond | Counselor | 114 Jordan Plaza Blvd Ste 302306, Tyler, TX 75704-2056 | 2019-07-12 |
| 1063070209 | Susan Michele Whitaker | Counselor | The Beginning, 114 Jordan Plaza Blvd Suite 302, Tyler, TX 75704 | 2019-06-03 |
| 1477111995 | Alma Bluesummers | Counselor | 114 Jordan Plaza Blvd Ste 302, Tyler, TX 75704-2056 | 2019-05-30 |
| 1669937041 | Bonnie Ann Blattman Beaulieu | Counselor | 3400 Nne Loop 323 Trlr 34, Tyler, TX 75708-5607 | 2019-02-09 |
| 1821577628 | Jahn Quattlebaum | Counselor | 6200 Wilshire Dr, Tyler, TX 75703-4159 | 2018-08-13 |
| 1831684349 | Andrew Bednarek | Counselor | 1510 S. Vine Street, Tyler, TX 75771 | 2018-06-27 |
| 1811482581 | Robert M Parnell | Counselor | 1510 S Vine Ave, Tyler, TX 75701-2826 | 2018-06-26 |
| 1902309487 | Tina Renae Huseth | Counselor | 11849 County Road 461, Tyler, TX 75706-4823 | 2018-03-12 |
| Find all providers in TYLER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.