Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin Harrison Lyons, CADC-II, QMHA-I, CRM

Individual provider Peer Specialist · NPI 1235810672

Justin Harrison Lyons, CADC-II, QMHA-I, CRM is a Peer Specialist in Grants Pass, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
3

Practice location Address checks out

320 SW Ramsey Ave
Grants Pass, OR 97527-5529
Phone: (541) 476-2373
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (OR)
Peer Specialist Taxonomy 175T00000X · Licence 25-CRM-4079 (OR)
Mental Health Counselor Taxonomy 101YM0800X (OR)

Record details

NPI number1235810672
Entity typeIndividual (Type 1)
GenderMale
Credentials CADC-II , QMHA-I , CRM
Sole proprietorNo
NPI enumeratedJuly 27, 2023
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

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