Active NPI
Jennifer Lynne Lance, M.S
- School Counselor
- Carmel, IN
National Provider Identifier
1053641068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 939455
- Practice address
- 703 Pro-Med LN Ste 102
Carmel, IN 46032-5318 - Phone
- (317) 844-2442
- NPI assigned
- Jan 14, 2010
- Last updated
- Jan 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 939455 | IN | Primary |
Addresses
Primary practice location
703 Pro-Med LN Ste 102
Carmel, IN 46032-5318
Mailing address
703 Pro-Med LN Ste 102
Carmel, IN 46032-5318
Phone (317) 844-2442
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 939455 | IN | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1053641068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "703 PRO-MED LN STE 102",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325318",
"telephone_number": "317-844-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "703 PRO-MED LN STE 102",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325318",
"telephone_number": "317-844-2442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANCE",
"first_name": "JENNIFER",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "M.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-14",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "IN",
"license": "939455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.