JOHN A LYON (NPI# 1316121189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316121189 |
| Entity Type | Individual |
| Full Name | JOHN A LYON |
| Credential | LCSW |
| Practice Address |
2701 12th Ave S Fargo ND 58103-8753 |
| Mailing Address |
1201 25th St S Po Box 9859 Fargo ND 58103-2311 |
| Practice Telephone | 7014514900 |
| Practice Fax Number | 6519250057 |
| Mailing Telephone | 7014514900 |
| Enumeration Date | 2007-12-28 |
| Last Update Date | 2020-02-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
4055 | ND | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1201 25th St S, Fargo, ND 581032311 | 7014514900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407058852 | John R Lyon | Dentist | 9301 Bissonnet St Ste 165, Houston, TX 77074-1426 | 2007-06-05 |
| 1336208305 | John Benton Lyon | Specialist | 1431 W 10th St, Suite 2, Laurel, MS 39440-2626 | 2006-12-06 |
| 1518036532 | John Steven Lyon | Dentist | 2700 Hydraulic Rd, Charlottesville, VA 22901-8915 | 2006-11-06 |
| 1720620032 | John Lyon Iv | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2019-10-09 |
| 1245330729 | John H Lyon | Orthopaedic Surgery | 1550 N Northwest Hwy, Suite 220, Park Ridge, IL 60068-1411 | 2006-09-24 |
| Street Address |
2701 12TH AVE S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-8753 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174677785 | Peggy L Stenehjem-titus | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2007-01-22 |
| 1528687217 | Julie Vandrovec | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2020-04-13 |
| 1174156145 | Jessica L Danielson | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2020-02-19 |
| 1780220350 | Darren Carter | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-11-19 |
| 1548801228 | Amanda Ellingson | Registered Nurse | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-10-03 |
| 1114576907 | Lindsey Marie Kringlie | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-09-05 |
| 1740833490 | Amy Neuheisel | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-07-22 |
| 1831753631 | Justin N Chase | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2019-04-26 |
| 1356881130 | Amber Dew | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2017-02-28 |
| 1699215574 | Roxann Burtness | Counselor | 2701 12th Ave S, Fargo, ND 58103-8753 | 2017-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861955296 | Empower Counseling LLC | Social Worker | 4675 40th Ave S Ste 130, Fargo, ND 58104-4444 | 2019-04-11 |
| 1295262897 | Centerstone Counseling | Social Worker | 417 38th St Sw Ste D, Fargo, ND 58103-6508 | 2017-05-15 |
| 1992252621 | Brittany Schank | Social Worker | 1321 23rd St S Ste D, Fargo, ND 58103-3724 | 2016-09-11 |
| 1558726083 | Cathy Lynn Bauer-kottenbrock | Social Worker | 2101 Elm Street N, Fargo, ND 58102-2498 | 2015-12-29 |
| 1104215623 | Justin Lervik | Social Worker | 211 Elm St. N, 122, Fargo, ND 58102 | 2015-01-21 |
| 1942625983 | Jennifer Lenore Anderson | Social Worker | 1351 Page Dr S Ste 202, Fargo, ND 58103-3536 | 2014-02-27 |
| 1992147243 | Shawna Marie Croaker | Social Worker | 4553 9th Ave S Ste 3, Fargo, ND 58103-7253 | 2013-07-26 |
| 1992056147 | Nicholas Gard | Social Worker | 1112 Nodak Dr S Ste 105, Fargo, ND 58103-2366 | 2012-09-27 |
| 1265707848 | Erika Louise Lake | Social Worker | 1330 Page Dr S Ste 101, Fargo, ND 58103-3551 | 2012-03-15 |
| 1346519378 | Trishia K Powell | Social Worker | 3125 41st St S, Fargo, ND 58104-8666 | 2011-12-20 |
| Find all providers in FARGO | ||||
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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.