KENNETH ROBERT LYONS (NPI# 1124558614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124558614 |
| Entity Type | Individual |
| Full Name | KENNETH ROBERT LYONS |
| Credential | AAC, CDPT |
| Practice Address |
3639 Mlk Jr Way S Seattle WA 98144 |
| Mailing Address |
3639 Mlk Jr Way South Seattle WA 98144 |
| Practice Telephone | 2068058972 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CO60906258 | WA | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | CG60475258 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2110425 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770523391 | Kenneth P. Lyons | Nuclear Medicine | 20162 Sw Birch St, Suite 150, Newport Beach, CA 92660-0787 | 2006-06-08 |
| 1629579438 | Kenneth Edward Lyons Jr. | Case Manager/Care Coordinator | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2018-02-27 |
| 1669528741 | Kenneth D. Lyons | Physician Assistant | 799 Highland Ave, Winston Salem, NC 27101-4206 | 2007-01-25 |
| 1346208600 | Kenneth F Lyons | Pediatrics | 2835 N Sheffield Ave, #501, Chicago, IL 60657-5081 | 2006-05-03 |
| 1932199734 | Kenneth Anthony Lyons | Internal Medicine | 312 E Main St, Marshalltown, IA 50158-1888 | 2005-10-24 |
| Street Address |
3639 MLK JR WAY S |
| City | SEATTLE |
| State | WA |
| Zip Code | 98144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497032585 | Lai Hin Saetern | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2011-11-03 |
| 1003447541 | Kaiwen Tan | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2020-02-03 |
| 1396385308 | Ruhaniyyih Sabeti | Student in an Organized Health Care Education/Training Program | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2020-01-08 |
| 1801432323 | Sung Yeon Kim | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2019-11-19 |
| 1831673219 | Mervyn Chua | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2018-09-20 |
| 1144700089 | Minh Dung Hoang Le | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2018-08-20 |
| 1013447572 | Jane Ng | Social Worker | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2017-06-18 |
| 1457881054 | Padam N Sharma | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144 | 2017-06-15 |
| 1073043550 | Joseph Mills | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2017-06-15 |
| 1952830101 | Ambika Dhungyel | Counselor | 3639 Mlk Jr Way S, Seattle, WA 98144-6847 | 2017-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1891337457 | Alyson Paris | Counselor | 2100 24th Ave S, Suite 260, Seattle, WA 98144 | 2019-10-15 |
| 1912558370 | Marco Antonio Medina Sotelo | Counselor | 113 23rd Avenue South, Seattle, WA 98144 | 2019-09-26 |
| 1952865909 | John Thomas Hogan | Counselor | 1600 S Lane, Seattle, WA 98144 | 2019-01-23 |
| 1134693856 | Kimo Martin | Peer Specialist | 1600 Lane St, Seattle, WA 98144 | 2019-01-15 |
| 1952875791 | Rainier Chiropractic Accident and Injury Ps | Massage Therapist | 2326 Rainier Ave S, Ste B, Seattle, WA 98144 | 2019-01-15 |
| 1174097083 | Seann M Combs | Counselor | 1600 S Lane St, Seattle, Wa 98144, Seattle, WA 98144 | 2019-01-14 |
| 1922571587 | Cristina Wirkala | Registered Nurse | Crisis Solutions Center, 1600 South Lane Street, Seattle, WA 98144 | 2019-01-07 |
| 1215405162 | Vickie Barron | Counselor | 3401 Rainier Ave S, Suite B, Seattle, WA 98144 | 2018-11-08 |
| 1164906509 | Julie Seddon Cabell | Counselor | Central Youth and Family Services, 1901 Mlk Jr Way S., Seattle, WA 98144 | 2018-09-21 |
| Find all providers in zip 98144 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920734 | Kayla Robin Daffon | Counselor | 2464 S College St Apt 1, Seattle, WA 98144-4764 | 2020-10-23 |
| 1184223463 | Mai Okano | Counselor | 929 N 130th St, Seattle, WA 98133-7500 | 2020-10-19 |
| 1952917676 | Christy Marie Saevivat | Counselor | 2641 42nd Ave Sw Apt 416, Seattle, WA 98116-4607 | 2020-09-17 |
| 1811501208 | Chelsea Gene Whipple | Counselor | 3925 Wallingford Ave N, Seattle, WA 98103-8247 | 2020-09-02 |
| 1558975235 | Miranda Plummer | Counselor | 2122 S Jackson Street, Seattle, WA 98144 | 2020-09-01 |
| 1043823974 | Jonathan G Huerta | Counselor | 9108 2nd Ave Ne, Seattle, WA 98115-2709 | 2020-08-29 |
| 1053924191 | Claire Sanchez | Counselor | 2033 6th Ave # 609, Seattle, WA 98121-2573 | 2020-08-28 |
| 1790397156 | Jaymie Rojas-luna | Counselor | 4634 E Marginal Way S # 4636, Seattle, WA 98134-2398 | 2020-08-18 |
| 1013526821 | Kimberly Kong | Counselor | 919 S King St, Seattle, WA 98104-3040 | 2020-07-28 |
| 1891303418 | Chloe Mae Caswell | Counselor | 3501 Rainier Ave S, Seattle, WA 98144-3555 | 2020-07-20 |
| Find all providers in SEATTLE | ||||
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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.