Individual provider Active NPI

Tonya L Lane

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1023564408
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC009122 Issued in PA
Practice address
205 Granite Run Dr Ste 310
Lancaster, PA 17601-6821
Phone
(717) 617-2065
Fax
(717) 824-4862
NPI assigned
Aug 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC009122 PA Primary

Addresses

Primary practice location

205 Granite Run Dr Ste 310
Lancaster, PA 17601-6821

Mailing address

205 Granite Run Dr Ste 310
Lancaster, PA 17601-6821
Phone (717) 617-2065

Other names 1

  • Tonya L Rutt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240506001198 PA Practitioner - Mental Health Counselor 2567802762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lancaster General Medical GroupGroup PAC ID 0941103683, 590 clinicians

Practice addresses (Care Compare)

700 Lancaster Rd
Manheim, PA 17545-2314
Phone (717) 735-7454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC009122PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Jan 1, 2025 Accepting new patients
Lancaster General Medical Group CurrentSince May 13, 2024 Accepting new patients
Life and Love Counseling LLC CurrentSince Jul 24, 2022 Accepting new patients
Lancaster General Medical Group Professional Current Accepting new patients
Lancaster General Medical Group CurrentSince May 13, 2024 Accepting new patients
Lancaster General Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

3045 Marietta Ave
Lancaster, PA 17601
Phone (717) 299-4644

205 Granite Run Dr
Ste 310
Lancaster, PA 17601
Phone (717) 617-2065

555 N Duke St
Lancaster, PA 17602
Phone (717) 544-5945

1701 Cornwall Rd
Ste 201
Lebanon, PA 17042
Phone (717) 675-1750

700 Lancaster Rd
Manheim, PA 17545
Phone (717) 314-0924

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1023564408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 GRANITE RUN DR STE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016821",
            "telephone_number": "717-617-2065",
            "fax_number": "717-824-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 GRANITE RUN DR STE 310",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016821",
            "telephone_number": "717-617-2065",
            "fax_number": "717-824-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "TONYA",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONYA",
            "last_name": "RUTT",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.