LATASHA NICOLE LYONS
NPI 1639790264
Counselor - Professional in Mount Vernon, IL
About Latasha Nicole Lyons NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATASHA NICOLE LYONS (NPI 1639790264) is an individual professional provider in Mount Vernon, Illinois, licensed in Illinois (178.015569) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Latasha Nicole Lyons 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.
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 Latasha Lyons's NPI number?
The NPI number for Latasha Lyons is 1639790264. It was assigned to this individual provider in the NPPES registry on May 5, 2020.
Where is Latasha Lyons located?
Latasha Lyons practices at 1004 Mulligan Dr, Mount Vernon, IL 62864. The listed phone number is (708) 238-1876.
What is Latasha Lyons's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Latasha Lyons enrolled in Medicare?
Yes. Latasha Lyons 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.
When was this NPI record last updated?
The NPPES record for Latasha Lyons was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Latasha Nicole Lyons · NPI 1639790264
Professional provider in Mount Vernon, Illinois. Individual provider, active in the CMS NPPES registry since May 5, 2020.
## Identity
- **NPI:** 1639790264 (Entity type: Individual)
- **Enumerated:** May 5, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 178.015569 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1004 MULLIGAN DR, Mount Vernon, IL 62864-2099
- **Phone:** (708) 238-1876
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** May 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1639790264) · Data from the CMS NPPES public registry.