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JORDAN ALIX LYON PH.D.
NPI 1164748307
Psychologist - Cognitive & Behavioral in Seattle, WA

Active since April 13, 2010Opted out of Medicare · through Jan 1, 2027
1200 5TH AVE, SUITE 800, SEATTLE, WA 98101(206) 374-0109(206) 374-0108 Get Directions Write a Review

NPPES record last updated: April 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jordan Alix Lyon Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN ALIX LYON PH.D. (NPI 1164748307) is an individual cognitive & behavioral provider in Seattle, Washington, licensed in Washington (PY60075349) and active in the NPI registry since April 2010. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1164748307
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameJORDAN ALIX LYONCredential: PH.D.
Location Address1200 5TH AVE, SUITE 800Seattle, WA 98101-3132
Mailing Address1200 5th Ave, Suite 800Seattle, WA 98101-3132 · (206) 374-0109 · Fax (206) 374-0108
Phone(206) 374-0109
Fax(206) 374-0108
Sole ProprietorNo
Enumeration DateApril 13, 2010
✔ NPI 1164748307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in WA · PY60075349
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
1200 5TH AVE, Seattle, WA 98101
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jordan Alix Lyon Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2017 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2017
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. JESSICA LYNN CHIU PSY.D.
Psychologist (Clinical)
1200 5TH AVE, SUITE 800
SEATTLE, WA 98101
King County (206) 374-0109
MS. JENNIFER ROSE TININENKO PHD
Psychologist (Clinical)
1200 5TH AVE, SUITE 800
SEATTLE, WA 98101
King County (206) 374-0109
DR. PETER M DOYLE PH.D.
Psychologist (Clinical)
1200 5TH AVE, SUITE 800
SEATTLE, WA 98101
King County (206) 374-0109
MR. DANIEL O'ROURKE PH.D
Psychologist
1200 5TH AVE, #800
SEATTLE, WA 98101
King County (206) 374-0109
THU-THAO BUI PH.D.
Psychologist (Clinical)
1200 5TH AVE, SUITE 800
SEATTLE, WA 98101
King County (206) 374-0109
DR. DAVID LISCHNER M.D.
Psychiatry & Neurology (Psychiatry)
1200 5TH AVE, SUITE 800
SEATTLE, WA 98101
King County (206) 374-0109
MARK R MCCLUNG MD PC
Clinic/Center (Mental Health (Including Community Mental Health Center))
1200 5TH AVE, SUITE 2010
SEATTLE, WA 98101
King County (206) 728-5878
DR. TINA LEE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1200 5TH AVE, SUITE 800
SEATTLE, WA 98101
King County (206) 374-0109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Lyon's NPI number?

The NPI number for Jordan Lyon is 1164748307. It was assigned to this individual provider in the NPPES registry on April 13, 2010.

Where is Jordan Lyon located?

Jordan Lyon practices at 1200 5th Ave Suite 800, Seattle, WA 98101. The listed phone number is (206) 374-0109.

What is Jordan Lyon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jordan Lyon enrolled in Medicare?

No. Jordan Lyon has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jordan Lyon was last updated on April 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.