TIMOTHY ROBERT LYMAN MA, LADC
NPI 1932671096
Counselor - Addiction (Substance Use Disorder) in Crown Point, NY

Active since December 28, 2018PECOS Enrolled
631 HOGBACK RD, CROWN POINT, NY 12928(518) 570-1097 Get Directions Write a Review

NPPES record last updated: December 28, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timothy Robert Lyman Ma, Ladc NPPES

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

TIMOTHY ROBERT LYMAN MA, LADC (NPI 1932671096) is an individual addiction (substance use disorder) provider in Crown Point, New York, licensed in Vermont (151.0125941) and active in the NPI registry since December 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932671096
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTIMOTHY ROBERT LYMANCredential: MA, LADC
Location Address631 HOGBACK RDCrown Point, NY 12928-1815
Mailing Address631 Hogback RdCrown Point, NY 12928-1815 · (518) 570-1097
Sole ProprietorYes
Enumeration DateDecember 28, 2018
NPI 1932671096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in VT · 151.0125941
Also ListedCounselorTaxonomy 101Y00000X · License 151.0125941 (VT)
631 HOGBACK RD, Crown Point, NY 12928

Other Identifiers 1

Other151.0125941VT · Office Of Professional Regulation

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 (PECOS)

Timothy Robert Lyman Ma, Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Timothy Lyman's NPI number?

The NPI number for Timothy Lyman is 1932671096. It was assigned to this individual provider in the NPPES registry on December 28, 2018.

Where is Timothy Lyman located?

Timothy Lyman practices at 631 Hogback Rd, Crown Point, NY 12928. The listed phone number is (518) 570-1097.

What is Timothy Lyman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Timothy Lyman enrolled in Medicare?

Yes. Timothy Lyman is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Lyman accept?

Health plans from Anthem Blue Cross and Blue Shield list Timothy Lyman 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 Timothy Lyman was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.