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Deactivated NPI 1366812190 Deactivated / Inactive NPI Male Practitioner

Lawrence Lyons

Counselor • Greenbrae, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lawrence Lyons has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 06, 2015
NPI Deactivation Date April 16, 2021
Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Lawrence Lyons was a registered Counselor practicing in Greenbrae, CA. Throughout an active medical career spanning 6 years, Lawrence Lyons provided care at the practice location at 250 BON AIR RD until profile deactivation on 2021-04-16.

Practice Location & Contact Primary Location

Practice Address

250 Bon Air Rd
Unit B

Greenbrae, CA 949041702

Telephone 4154736835
Associated Practice Facility / Clinic
🏢 Marin Community Clinic Facility NPI 1124021738

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Greenbrae, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Greenbrae, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
Dr. Alec Chang , DO

Psychiatry & Neurology - Psychiatry

NPI 1013259415

Doctor of Osteopathic Medicine (D.O.)

Annie Stoddard

Rehabilitation Practitioner

NPI 1023505823
Sara Moschetto , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1083058192

Nurse Practitioner

Richard Mauterer

Marriage & Family Therapist

NPI 1285939827
Luis Olivera

Counselor

NPI 1295277697
Laurel Melbin , AMFT

Counselor - Mental Health

NPI 1295974541

Associate Marriage and Family Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

19 Historical Events
⚠️
NPI Profile Deactivated April 16, 2021

Record deactivated on April 16, 2021

📍
Updated Practice Location June 09, 2020

Registered at 13847 E 14TH ST, SAN LEANDRO, CA 945782632 (Tel: 4154747310)

📍
Updated Business Mailing Address June 09, 2020

Registered at 13847 E 14TH ST, SAN LEANDRO, CA 945782632

👤
Provider Name / Credentials Updated June 09, 2020

Recorded as LAWRENCE LYONS, MSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2020

Counselor

📍
Updated Practice Location November 19, 2018

Registered at 2523 EL PORTAL DR STE 201, SAN PABLO, CA 948063305 (Tel: 5107736669)

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Updated Business Mailing Address November 19, 2018

Registered at 2523 EL PORTAL DR STE 201, SAN PABLO, CA 948063305

👤
Provider Name / Credentials Updated November 19, 2018

Recorded as LAWRENCE LYONS, ASW

NPI Profile Active August 04, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2017

Registered at 1216 14TH ST, OAKLAND, CA 946072207 (Tel: 5102734700)

📍
Updated Business Mailing Address August 04, 2017

Registered at 1216 14TH ST, OAKLAND, CA 946072207

👤
Provider Name / Credentials Updated August 04, 2017

Recorded as LAWRENCE LYONS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2017

Counselor

NPI Profile Active November 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2016

Registered at 250 BON AIR RD, UNIT B, GREENBRAE, CA 949041702 (Tel: 4154736835)

📍
Updated Business Mailing Address November 10, 2016

Registered at 250 BON AIR RD, UNIT B, GREENBRAE, CA 949041702

👤
Provider Name / Credentials Updated November 10, 2016

Recorded as LAWRENCE LYONS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2016

Counselor

🟢
Initial NPI Registration & Enumeration October 06, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366812190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2015
Last Update: November 10, 2016
Deactivation Date: April 16, 2021

Mailing Address

250 Bon Air Rd, Unit B

Greenbrae, CA 949041702

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.