Individual provider Active NPI

Anne Lane, LPC

  • Professional Counselor
  • Bayfield, CO
National Provider Identifier
1053975128
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0017421 Issued in CO
Practice address
357 N Mountain View Dr # 206
Bayfield, CO 81122-9500
Phone
(970) 501-8198
NPI assigned
Apr 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37504 MT
Professional Counselor 101YP2500X LPC.0017421 CO Primary

Addresses

Primary practice location

357 N Mountain View Dr # 206
Bayfield, CO 81122-9500

Mailing address

1917 County Road 988
Ignacio, CO 81137-9643
Phone (970) 501-8198

Other practice location 1

1305 Wyoming St
Missoula, MT 59801-1725
Phone (406) 532-9770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mij09895w86a27@print.epsonconnect.com

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
37504MTMDMental Health Counselor
LPC.0017421COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Little Sunflower Counseling, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1053975128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 COUNTY ROAD 988",
            "city": "IGNACIO",
            "state": "CO",
            "postal_code": "811379643",
            "telephone_number": "970-501-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 N MOUNTAIN VIEW DR # 206",
            "city": "BAYFIELD",
            "state": "CO",
            "postal_code": "811229500",
            "telephone_number": "970-501-8198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 Wyoming St",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598011725",
            "country_code": "US",
            "telephone_number": "406-532-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANE",
        "first_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "37504",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0017421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mij09895w86a27@print.epsonconnect.com",
            "affiliation": "N",
            "address_1": "357 N Mountain View Dr # 206",
            "city": "Bayfield",
            "state": "CO",
            "country_code": "US",
            "postal_code": "811229500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bayfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.