Active NPI
Stephen King Lander, LMFT
- Mental Health Counselor
- Rancho Mirage, CA
National Provider Identifier
1063560365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20572
- Practice address
- 71687 Highway 111 Ste 205
Rancho Mirage, CA 92270-4515 - Phone
- (612) 205-4576
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LMFT #834 | MN | |
| Mental Health Counselor | 101YM0800X | MA LP #3316 | MN | |
| Mental Health Counselor | 101YM0800X | 20572 | CA | Primary |
Addresses
Primary practice location
71687 Highway 111 Ste 205
Rancho Mirage, CA 92270-4515
Mailing address
796 N Seville Cir
Palm Springs, CA 92262-6242
Phone (612) 205-4576
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41-1836968 | Other | FED TAX ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT #834 | MN | MD | Mental Health Counselor |
| MA LP #3316 | MN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1063560365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "796 N SEVILLE CIR",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626242",
"telephone_number": "612-205-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71687 HIGHWAY 111 STE 205",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704515",
"telephone_number": "612-205-4576"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDER",
"first_name": "STEPHEN",
"middle_name": "KING",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2021-03-10",
"certification_date": "2021-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "LMFT #834",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MN",
"license": "MA LP #3316",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "20572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED TAX ID",
"identifier": "41-1836968",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
- Gregory Reid Lancaster, DO
- Megan Elizabeth Lancaster, NP
- Lance Patrick Walsh MD PHD a Professional Medical Corporation
- Lander Comprehensive Urology
- Elliot Barton Lander, M.D.
- Tama Louise Lang de Rodriguez, RDN
- Brittney Renee Lang, MSW, LCSW
- Gary Francis Lange, PH.D., MFT
- David Lara-Toney, MFT
- Iqra Lareeb, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.