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Deactivated NPI 1023158714 Deactivated / Inactive NPI Female Practitioner

Mary Lou Lyon , MA

Counselor - Professional • Mc Lean, VA

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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, Mary Lyon has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 08, 2007
NPI Deactivation Date March 13, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Mary Lyon, MA was a registered Counselor - Professional practicing in Mc Lean, VA. Throughout an active medical career spanning 18 years, Mary Lyon provided care at the practice location at 6723 WHITTIER AVE until profile deactivation on 2025-03-13.

Practice Location & Contact Primary Location

Practice Address

6723 Whittier Ave
Suite 406

Mc Lean, VA 221014522

Telephone 7039636301
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Mc Lean, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.4 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
66 Specialists

Practicing in Mc Lean, VA (6609 Statewide)

Telehealth Adoption Rate
4.5% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701004017

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
Dr. Stephanie Tebor , PhD

Psychologist - Clinical

NPI 1023366200

Doctor of Philosophy (Ph.D.)

Dr. John Leso , PhD

Psychologist - Clinical

NPI 1053835785

Doctor of Philosophy (Ph.D.)

Dr. Nordine Gaugau , MD

Radiology - Diagnostic Radiology

NPI 1134180300

Doctor of Medicine (M.D.)

Dr. Anna Lucca , PhD

Psychologist - Clinical

NPI 1144384009

Doctor of Philosophy (Ph.D.)

NPI 1215276365

Doctor of Philosophy (Ph.D.)

Dr. Vivian Shelton , PsyD

Psychologist - Clinical

NPI 1487892014

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated March 13, 2025

Record deactivated on March 13, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2025

Counselor (License #LC1509 in MD)

NPI Profile Active January 14, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 14, 2014

Registered at 6723 WHITTIER AVE, SUITE 406, MC LEAN, VA 221014522 (Tel: 7039636301)

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Updated Business Mailing Address January 14, 2014

Registered at 6723 WHITTIER AVE, SUITE 406, MC LEAN, VA 221014522 (Tel: 7039636301)

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Provider Name / Credentials Updated January 14, 2014

Recorded as MARY LYON, MA

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2014

Counselor (License #0701004017 in VA)

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Initial NPI Registration & Enumeration February 08, 2007

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: 1023158714
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: January 14, 2014
Deactivation Date: March 13, 2025

Mailing Address

6723 Whittier Ave, Suite 406

Mc Lean, VA 221014522

Phone: 7039636301

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.