IndividualActive
Jackie Lyons, LCDC 3
NPI 1053822684 · Addiction (Substance Use Disorder) Counselor · Cincinnati, OH
Provider details
- NPI number
- 1053822684
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDC 3
- Sex
- Female
- Sole proprietor
- No
- License
- 131083 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2203 Fulton Ave
Cincinnati, OH 45206-2504
Phone: (513) 961-4663
Fax: (513) 961-4681
Street-level locationGet directions
Mailing address
2211 Fulton Ave
Cincinnati, OH 45206-2504
Registry dates
- Enumerated
- 2017-10-23
- Last updated
- 2017-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.