MARY (MK) KATHRYN LYSSY M.S., LPC
NPI 1508410051
Counselor - Professional in San Antonio, TX

Active since August 01, 2019PECOS EnrolledAccepts Medicare Assignment
1102 BARCLAY ST, SAN ANTONIO, TX 78207(210) 233-7000 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2024, Jan 20, 2020, Aug 1, 2019 (3 updates tracked since 2019).

About Mary (mk) Kathryn Lyssy M.s., Lpc NPPES

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

MARY (MK) KATHRYN LYSSY M.S., LPC (NPI 1508410051) is an individual professional provider in San Antonio, Texas, licensed in Texas (79048) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1508410051
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARY (MK) KATHRYN LYSSYCredential: M.S., LPC
Location Address1102 BARCLAY STSan Antonio, TX 78207-7161
Mailing Address3066 E Commerce StSan Antonio, TX 78220-1013 · (210) 233-7000 · Fax (210) 434-1704
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 1, 2019
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
NPI 1508410051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in TX · 79048
1102 BARCLAY ST, San Antonio, TX 78207

Secondary Practice Location 1

Location 16609 Blanco Rd Ste. 365San Antonio, TX 78216 · Phone (210) 777-7802

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mary (mk) Kathryn Lyssy M.s., Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921447772
PECOS Enrollment IDI20240412003733
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Counselor
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Pediatrics
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Student in an Organized Health Care Education/Training Program
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Dentist
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Counselor (Mental Health)
1102 BARCLAY ST
SAN ANTONIO, TX 78207
Family Medicine
1102 BARCLAY ST
SAN ANTONIO, TX 78207

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 Mary (mk) Lyssy's NPI number?

The NPI number for Mary (mk) Lyssy is 1508410051. It was assigned to this individual provider in the NPPES registry on August 1, 2019.

Where is Mary (mk) Lyssy located?

Mary (mk) Lyssy practices at 1102 Barclay St, San Antonio, TX 78207. The listed phone number is (210) 233-7000.

What is Mary (mk) Lyssy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary (mk) Lyssy enrolled in Medicare?

Yes. Mary (mk) Lyssy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary (mk) Lyssy accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Mary (mk) Lyssy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary (mk) Lyssy was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.