Individual provider Active NPI

Lane Alfred McConnell, LMFT

  • Marriage & Family Therapist
  • Miami Beach, FL
National Provider Identifier
1013074301
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46272 Issued in CA
Practice address
1337 Pennsylvania Ave Apt 5
Miami Beach, FL 33139-4050
Phone
(415) 260-4003
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 46272 CA Primary

Addresses

Primary practice location

1337 Pennsylvania Ave Apt 5
Miami Beach, FL 33139-4050

Mailing address

PO Box 190424
Miami Beach, FL 33119-0424
Phone (415) 260-4003

Other practice location 1

1035 Market St
San Francisco, CA 94103-1605
Phone (415) 260-4003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
46272CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1013074301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190424",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331190424",
            "telephone_number": "415-260-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1337 PENNSYLVANIA AVE APT 5",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331394050",
            "telephone_number": "415-260-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1035 Market St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941031605",
            "country_code": "US",
            "telephone_number": "415-260-4003",
            "fax_number": "415-558-9657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "LANE",
        "middle_name": "ALFRED",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.